Ashley Ann Ricketts, DNP PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3015479 Issued in KY

Practice address

2355 Poplar Level Rd Ste 405
Louisville, KY 40217-1389

Phone

(502) 636-7845

Fax

(502) 636-8045

NPI assigned

Nov 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Ashley Ann Ricketts Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

University of Louisville School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians

Med Management Indiana PCGroup PAC ID 5698027266, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.99 of 100Reported as group

Quality

81.97

Promoting interoperability

97

Improvement activities

40

Cost

77.29

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Cost

67.33

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashley.ricketts.1@16521.direct.athenahealth.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Commonwealth Pain Associates, PLLC

  • Interventional Pain Medicine Physician
  • Louisville, KY
  • NPI 1306280177

  IN

  Medicare reassignment Care Compare group NPD
• Med Management Indiana PC

  • Psychiatry Physician
  • Garfield Heights, OH
  • NPI 1225519333

  KY

  Medicare reassignment Care Compare group NPD
• 360Care Services of Kentucky LLC

  • Social Worker
  • Louisville, KY
  • NPI 1669113023
  Medicare reassignment NPD
• Melissa Babbs Aprn LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Henryville, IN
  • NPI 1285353318

  KY

  Medicare reassignment NPD
• Ashley Ann Ricketts DNP Pmhnp LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
  • NPI 1588361562
  NPD Authorized official
• 360Care Services of Kentucky LLC

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1174394852
  NPD
• Commonwealth Pain Associates PLLC

  • Durable Medical Equipment & Medical Supplies
  • Paducah, KY
  • NPI 1114753720
  NPD
• Be Well Providers, LLC

  • Adult Mental Health Clinic/Center
  • Louisville, KY
  • NPI 1568971950
  NPD (past)

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1326641499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776347",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776347",
            "telephone_number": "502-975-2213",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 POPLAR LEVEL RD STE 405",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171389",
            "telephone_number": "502-636-7845",
            "fax_number": "502-636-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKETTS",
        "first_name": "ASHLEY",
        "middle_name": "ANN",
        "credential": "DNP PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "3015479",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3015479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300058423",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100719600",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.ricketts@nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "2355 Poplar Level Rd Ste 405",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402171389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.ricketts.1@16521.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Commonwealth Pain Associates, PLLC",
            "address_1": "120 Executive Park",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "RICKETTS",
            "middle_name": "ANN",
            "credential": "ASHLEY ANN MOULIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyle Ashley Rickard, M.D.
• Elizabeth Layne Ricke, M.S
• Mary Rickert, MS CCC SLP
• Vernon C Rickert Jr., LCSW LMFT
• Todd A Rickett, M.D./PH.D.
• Melissa Ricketts, PHARMD
• Lyndsey Alyse Riddell, PHARMD, RPH
• Jan Ridder, ARNP
• Brittany Riddle, LMFT
• Chad Riddle, CRNA

• Psychiatric/Mental Health Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.