Individual provider Active NPI

Ashley Tupper, ARPN

  • Primary Care Nurse Practitioner
  • Newcastle, WY
National Provider Identifier
1316354590
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
36815.1473 Issued in WY
Practice address
719 Washington Blvd
Newcastle, WY 82701-2987
Phone
(307) 746-2182
NPI assigned
Jul 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704293226 MI
Family Nurse Practitioner 363LF0000X 36815.1473 WY
Primary Care Nurse Practitioner 363LP2300X 36815.1473 WY Primary

Addresses

Primary practice location

719 Washington Blvd
Newcastle, WY 82701-2987

Mailing address

719 Washington Blvd
Newcastle, WY 82701-2987
Phone (307) 746-2182

Other practice location 1

1121 Washington Blvd
Newcastle, WY 82701-2968
Phone (307) 746-3582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20160129001178 WY Practitioner - Nurse Practitioner 8921225988

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

353 Fairmont Blvd
Rapid City, SD 57701-7375

Hospital & facility affiliations

  • Weston County Health Services Home health agency, Newcastle, WY, CCN 537050
  • Weston County Health Services Hospital, Newcastle, WY, CCN 531303
  • Campbell County Health Hospital, Gillette, WY, CCN 530002
  • Monument Health Custer Hospital Hospital, Custer, SD, CCN 431323
  • Monument Health Rapid City Hospital Hospital, Rapid City, SD, CCN 430077
  • Monument Health Spearfish Hospital Hospital, Spearfish, SD, CCN 430048

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Medical Clinic P.C. Primary Care CurrentSince Jun 14, 2019 Accepting new patients

Locations

719 Washington Blvd
Newcastle, WY 82701
Phone (307) 746-2182

219 W Main St
Newcastle, WY 82701
Phone (307) 363-5930

Interoperability endpoints

  • Direct secure messaging: ashley.tupper.1@24884.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24884/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1405728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1316354590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 WASHINGTON BLVD",
            "city": "NEWCASTLE",
            "state": "WY",
            "postal_code": "827012987",
            "telephone_number": "307-746-2182",
            "fax_number": "855-308-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 WASHINGTON BLVD",
            "city": "NEWCASTLE",
            "state": "WY",
            "postal_code": "827012987",
            "telephone_number": "307-746-2182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1121 Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Newcastle",
            "state": "WY",
            "postal_code": "827012968",
            "country_code": "US",
            "telephone_number": "307-746-3582",
            "fax_number": "605-755-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUPPER",
        "first_name": "ASHLEY",
        "credential": "ARPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-19",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704293226",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "36815.1473",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WY",
            "license": "36815.1473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newcastle, WY

Sources for this page

Verify at the official NPI Registry.