Ashley Gilson
Individual provider Active NPI Family Nurse Practitioner · Hartford, WI
NPI 1336509652 · NPPES record last updated Feb 29, 2016
Key facts
- NPI
- 1336509652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 6842-33 (WI)
- Practice address
- 1032 E Sumner St
Hartford, WI 53027-1608 - Phone
- (262) 673-2300
- NPI assigned
- Feb 29, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160323001461 | WI | Practitioner - Nurse Practitioner | 7618274390 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6842-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current |
Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current |
Accepting new patients |
Locations
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
N66W25201 Silver Spring Dr
Sussex, WI 53089
Phone (262) 532-8691
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
840 N 87th St
Wauwatosa, WI 53226
Phone (414) 805-5540
Interoperability endpoints
- agilson203963@direct.froedtert.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6842-33 | WI | Yes |
Addresses
Primary practice location
1032 E Sumner St
Hartford, WI 53027-1608
Mailing address
722 Eastern Ave
West Bend, WI 53095-4116
Phone (262) 951-5759
Other providers in Hartford, WI
- Christopher M Garvey
- Suzanne Gehl
- Antony V George
- Jaime L Gibson
- Jeffrey Scott Giesie
- Thomas E Goecks
- Angela S Goetsch
- Craig I Goldstein
- Gorman Trucking
- Grand Avenue Dental Care, LLC
All providers in Hartford, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.