Ashley Gambling, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Moriarty, NM
NPI 1417693672 · NPPES record last updated Nov 14, 2024
Key facts
- NPI
- 1417693672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 68020 (NM)
- Practice address
- 1108 W US Route 66
Moriarty, NM 87035-1006 - Phone
- (505) 832-4434
- Fax
- (505) 832-5024
- NPI assigned
- May 10, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- McLeod Medical Centers of NM Inc
New Mexico Family Medicine
Practice addresses (Care Compare)
1108 US Route 66 W
Moriarty, NM 87035-1006
Phone (505) 281-5180
2005 Route 66 W
Moriarty, NM 87035-2863
Phone (505) 492-2541
PO Box
Suite 2863
Moriarty, NM 87035-2863
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220727000628 | NM | Practitioner - Nurse Practitioner | 8325420177 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68020 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Family Medicine | Family Medicine | Current |
Accepting new patients |
| McLeod Medical Centers of NM, Inc. | Family Medicine | Current |
Accepting new patients |
| McLeod Medical Centers of NM, Inc. | Family Medicine | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 68020 | NM | Yes |
| Family Medicine Physician | 207Q00000X | 68020 | NM |
Addresses
Primary practice location
1108 W US Route 66
Moriarty, NM 87035-1006
Mailing address
1108 W US Route 66
Moriarty, NM 87035-1006
Phone (505) 832-4434
Other providers in Moriarty, NM
- Laura E Edimo
- Jeremy Todd Edmonds
- Foundation for Change Integrated Health
- Fowler Enterprises Inc
- James Mark Fowler
- Brittney Arlena Gibbons
- Molly Georgianne Hanford
- Terry J Hare
- Healing Word LLC
- Zackery Herrera
All providers in Moriarty, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.