Ashlee Nicole Nickerson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71016170A Issued in IN

Practice address

1210 N 1000 W
Linton, IN 47441-5013

Phone

(812) 847-4481

Fax

(844) 658-7526

NPI assigned

Dec 30, 2024

Last updated

Jan 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greene County General HospitalGroup PAC ID 2961481544, 102 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Bloomington, IN, CCN 157578
• Greene County General Hospital Hospital, Linton, IN, CCN 151317

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashlee.nickerson.1@17971.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/17971/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-usa.unify.chbase.com/org/greenco-d84f4143

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

• Greene County General Hospital

  • Critical Access Hospital
  • Linton, IN
  • NPI 1184695389

  Family

  Medicare reassignment Care Compare group NPD
• Greene County General Hospital

  • Hospitalist Physician
  • Linton, IN
  • NPI 1942703004

  Family

  NPD
• Greene County General Hospital

  dba My WestGate Clinic

  • Rural Health Clinic/Center
  • Newberry, IN
  • NPI 1053808683

  Family

  NPD (past)
• Greene County General Hospital

  dba My Bloomfield Clinic

  • Rural Health Clinic/Center
  • Bloomfield, IN
  • NPI 1821585563

  Family

  NPD (past)

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

• Amedisys Indiana, LLC

  dba Amedisys Home Health

  • Home Health Agency
  • Terre Haute, IN
  • NPI 1003937269
  Care Compare affiliation
• Greene County General Hospital

  • Critical Access Hospital
  • Linton, IN
  • NPI 1184695389
  Care Compare affiliation

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1366250896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 N 1000 W",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474415282",
            "telephone_number": "812-847-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 N 1000 W",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474415013",
            "telephone_number": "812-847-4481",
            "fax_number": "844-658-7526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1985 E Freedom Dr",
            "address_purpose": "LOCATION",
            "city": "Newberry",
            "state": "IN",
            "postal_code": "474497125",
            "country_code": "US",
            "telephone_number": "812-847-4481",
            "fax_number": "844-658-7526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 E Main St",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "IN",
            "postal_code": "474711603",
            "country_code": "US",
            "telephone_number": "812-847-4481",
            "fax_number": "844-658-7526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 N Judge St",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "IN",
            "postal_code": "474241231",
            "country_code": "US",
            "telephone_number": "812-847-4481",
            "fax_number": "844-658-7526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICKERSON",
        "first_name": "ASHLEE",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71016170A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MLB Linton Health Facilities, Inc. (Linton Hursing and Rehab)
• Yvonne Mok
• Aaron Molenda
• Debra Ann Moore, OPTICIAN
• Bria Moronez
• Normal Life of Indiana
• Ossip Optometry, PC (Cohen EyeCare)
• Lucio Giovanni Palanca, M.D.
• Derek Parkes, M.D.
• Matthew A Parmenter, DPM

• Family Nurse Practitioner in Linton, IN
• Providers in Linton, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.