NPIMap

Individual provider Active NPI

Ashley Shull Wilson

  • Family Nurse Practitioner
  • Farmville, VA
National Provider Identifier
1407631435
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024187957 Issued in VA
Practice address
833 Buffalo St Ste 200
Farmville, VA 23901-1111
Phone
(434) 392-8177
NPI assigned
Aug 28, 2023
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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 0024187957 VA Primary

Addresses

Primary practice location

833 Buffalo St Ste 200
Farmville, VA 23901-1111

Mailing address

2105 Cottage Rd
Blackstone, VA 23824-3447
Phone (540) 292-5693

Other practice location 1

14426 Hull Street Rd
Chesterfield, VA 23832-2525
Phone (804) 887-8322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231031002013 VA Practitioner - Nurse Practitioner 2668828468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Urgent Care LLCGroup PAC ID 6709256142, 125 clinicians

Practice addresses (Care Compare)

14163 Midlothian Tpke
Midlothian, VA 23113-6523
Phone (804) 893-8702

14426 Hull St Rd
Chesterfield, VA 23832-2525
Phone (804) 887-8322

9851 Brook Rd
Glen Allen, VA 23059-4559
Phone (804) 893-8702

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Health Services Inc Current Accepting new patients
Central Virginia Health Services Inc CurrentSince Sep 5, 2023 Accepting new patients
Bon Secours Urgent Care LLC CurrentSince Apr 21, 2025 Accepting new patients
Central Virginia Health Services Inc CurrentSince Sep 5, 2023 Accepting new patients

Locations

14426 Hull Street Rd
Chesterfield, VA 23832
Phone (804) 887-8322

833 Buffalo St
Farmville, VA 23901
Phone (434) 392-8177

833 Buffalo St
Ste 200
Farmville, VA 23901
Phone (434) 392-8177

9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702

Interoperability endpoints

  • Direct secure messaging: ashull1466316@direct.bsmhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1407631435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 COTTAGE RD",
            "city": "BLACKSTONE",
            "state": "VA",
            "postal_code": "238243447",
            "telephone_number": "540-292-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 BUFFALO ST STE 200",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011111",
            "telephone_number": "434-392-8177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14426 Hull Street Rd",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "VA",
            "postal_code": "238322525",
            "country_code": "US",
            "telephone_number": "804-887-8322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ASHLEY",
        "middle_name": "SHULL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

Verify at the official NPI Registry.