Individual provider Active NPI

Ashley Nicole Bednorz, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Missouri City, TX
National Provider Identifier
1306601810
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1152768 Issued in TX
Practice address
7435 Highway 6 Ste C
Missouri City, TX 77459-5135
Phone
(281) 606-0622
NPI assigned
Feb 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1152768 TX Primary

Addresses

Primary practice location

7435 Highway 6 Ste C
Missouri City, TX 77459-5135

Mailing address

5900 Balcones Dr Ste 100
Austin, TX 78731-4298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320003087 TX Practitioner - Nurse Practitioner 2365889722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solace Management LCGroup PAC ID 6901136076, 3 clinicians

Practice addresses (Care Compare)

3634 Glenn Lakes LN
Suite 170
Missouri City, TX 77459-4045
Phone (281) 606-0622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1152768TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mind & Brain, PC CurrentSince Feb 18, 2024 Accepting new patients
Solace Management LC Psychiatric/Mental Health CurrentSince Feb 1, 2024 Accepting new patients

Locations

7435 Highway 6
Ste C
Missouri City, TX 77459
Phone (281) 606-0622

6140 Highway 6
Missouri City, TX 77459
Phone (281) 745-2199

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1306601810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7435 HIGHWAY 6 STE C",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595135",
            "telephone_number": "281-606-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDNORZ",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1152768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.