Individual provider Active NPI

Ashley Tucholski, CRNP

  • Family Nurse Practitioner
  • Connellsville, PA
National Provider Identifier
1417490368
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016727 Issued in PA
Practice address
814 Vanderbilt Rd
Connellsville, PA 15425-6241
Phone
(724) 628-0450
NPI assigned
Nov 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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 SP016727 PA Primary

Addresses

Primary practice location

814 Vanderbilt Rd
Connellsville, PA 15425-6241

Mailing address

814 Vanderbilt Rd
Connellsville, PA 15425-6241
Phone (724) 628-0450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170524002014 PA Practitioner - Nurse Practitioner 5890062772 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc Current Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince May 1, 2020 Accepting new patients
Highlands Hospital and Health Center CurrentSince Apr 4, 2017 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince May 1, 2020 Accepting new patients
Highlands Hospital and Health Center CurrentSince Apr 4, 2017 Accepting new patients

Locations

2618 Memorial Blvd
Ste B1
Connellsville, PA 15425
Phone (724) 628-3944

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

814 Vanderbilt Rd
Connellsville, PA 15425
Phone (724) 628-0450

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1480204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1417490368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 VANDERBILT RD",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154256241",
            "telephone_number": "724-628-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 VANDERBILT RD",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154256241",
            "telephone_number": "724-628-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCHOLSKI",
        "first_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-27",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

Verify at the official NPI Registry.