Individual provider Active NPI

Ashley M Whitecotton, APRN

  • Family Nurse Practitioner
  • Marion, IL
National Provider Identifier
1326529660
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.018050 Issued in IL
Practice address
1700 Wildcat Dr Ste a
Marion, IL 62959-1435
Phone
(618) 519-9200
Fax
(618) 998-0880
NPI assigned
Aug 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.372415 IL
Family Nurse Practitioner 363LF0000X 209.018050 IL Primary

Addresses

Primary practice location

1700 Wildcat Dr Ste a
Marion, IL 62959-1435

Mailing address

109 California St
PO Box 577
Carterville, IL 62918-0577
Phone (618) 519-9200

Other names 1

  • Ashley M Murphy Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashley.murphy.1@14668.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20181116000994 IL Practitioner - Nurse Practitioner 7315291945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1700 Wildcat Dr
Suite a
Marion, IL 62959-1513
Phone (618) 519-9200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041.372415ILMDRegistered Nurse
209.018050ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Health Service and Development Corp CurrentSince Sep 30, 2018 Accepting new patients
Shawnee Health Service and Development Corp Current Accepting new patients
Shawnee Health Service and Development Corp CurrentSince Sep 30, 2018 Accepting new patients
Shawnee Health Service and Development Corp Past Accepting new patients
Shawnee Health Service and Development Corp Past Accepting new patients

Locations

404 S Lewis Ln
Carbondale, IL 62901
Phone (618) 319-4076

109 California St
Carterville, IL 62918
Phone (618) 985-8221

1006 S Division St
Carterville, IL 62918
Phone (618) 985-4841

1700 Wildcat Dr
Ste A
Marion, IL 62959
Phone (618) 969-8228

Organizations & group practices 5

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1326529660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CALIFORNIA ST",
            "address_2": "PO BOX 577",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629180577",
            "telephone_number": "618-519-9200",
            "fax_number": "618-985-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WILDCAT DR STE A",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591435",
            "telephone_number": "618-519-9200",
            "fax_number": "618-998-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITECOTTON",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.372415",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.018050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.murphy.1@14668.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1700 Wildcat Dr Ste A",
            "city": "Marion",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629591435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "MURPHY",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.