Individual provider Active NPI

Ashley A Lukes, NP

  • Family Nurse Practitioner
  • Green Bay, WI
National Provider Identifier
1407525561
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11178-33 Issued in WI
Practice address
2593 Development Dr Ste 240
Green Bay, WI 54311-4287
Phone
(920) 737-1625
NPI assigned
Sep 10, 2021
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11178-33 WI Primary

Addresses

Primary practice location

2593 Development Dr Ste 240
Green Bay, WI 54311-4287

Mailing address

2593 Development Dr Ste 240
Green Bay, WI 54311-4287
Phone (920) 737-1625

Other names 1

  • Ashley Jossart Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240508001084 WI Order and Referring Only - Nurse Practitioner 8325489313

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lindgren Functional Medicine CurrentSince Mar 12, 2024 Accepting new patients

Locations

2593 Development Dr
Ste 240
Green Bay, WI 54311
Phone (920) 737-1625

Interoperability endpoints

  • Direct secure messaging: ashley.lukes.1@31657.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1407525561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2593 DEVELOPMENT DR STE 240",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114287",
            "telephone_number": "920-737-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2593 DEVELOPMENT DR STE 240",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114287",
            "telephone_number": "920-737-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKES",
        "first_name": "ASHLEY",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "11178-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "JOSSART",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.