Individual provider Active NPI

Ashley Dean Moan, NP

  • Women's Health Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1417303678
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024172447 Issued in VA
Practice address
1080 First Colonial Rd
Ste 300
Virginia Beach, VA 23454-2406
Phone
(757) 481-7222
Fax
(757) 390-2935
NPI assigned
May 6, 2016
Last updated
May 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0024172447 VA Primary

Addresses

Primary practice location

1080 First Colonial Rd
Ste 300
Virginia Beach, VA 23454-2406

Mailing address

1080 First Colonial Rd
Ste 300
Virginia Beach, VA 23454-2406
Phone (757) 481-7222

Other names 1

  • Ashley Dean Salmon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20161013001237 VA Practitioner - Nurse Practitioner 6901194539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6353 Ctr Dr
Suite 100
Norfolk, VA 23502

6353 Ctr Dr
Suite 100
Norfolk, VA 23502-4100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.45 of 100Reported as group
Quality
76.15
Promoting interoperability
100
Improvement activities
40
Cost
75.34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Womens Care PLC CurrentSince Aug 15, 2016 Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients
Mid-Atlantic Womens Care PLC PastSince Aug 15, 2016 Accepting new patients

Locations

11842 Rock Landing Dr
Ste 115
Newport News, VA 23606
Phone (757) 595-9905

6353 Center Dr
Ste 100
Norfolk, VA 23502
Phone (571) 356-9735

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

1080 First Colonial Rd
Ste 300
Virginia Beach, VA 23454

2075 Glenn Mitchell Dr
Ste 410
Virginia Beach, VA 23456
Phone (575) 481-7222

Interoperability endpoints

  • Direct secure messaging: ashley.moan.1@22824.direct.athenahealth.com

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 2

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": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1417303678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 FIRST COLONIAL RD",
            "address_2": "STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542406",
            "telephone_number": "757-481-7222",
            "fax_number": "757-390-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 FIRST COLONIAL RD",
            "address_2": "STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542406",
            "telephone_number": "757-481-7222",
            "fax_number": "757-390-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOAN",
        "first_name": "ASHLEY",
        "middle_name": "DEAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024172447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "SALMON",
            "middle_name": "DEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.