Individual provider Active NPI

Ashley Dill Brown, APRN- CNP

  • Family Nurse Practitioner
  • Ardmore, OK
National Provider Identifier
1427566009
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
220104 Issued in OK
Practice address
2002 12TH Ave NW Ste B
Ardmore, OK 73401-1206
Phone
(580) 221-2022
Fax
(580) 221-2024
NPI assigned
Jan 17, 2018
Last updated
Sep 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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 220104 OK Primary

Addresses

Primary practice location

2002 12TH Ave NW Ste B
Ardmore, OK 73401-1206

Mailing address

10840 Main Camp Rd
Davis, OK 73030-9405
Phone (936) 328-6671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20241112002562 OK Practitioner - Nurse Practitioner 2264966340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Medical PLLCGroup PAC ID 9739508698, 4 clinicians

Practice addresses (Care Compare)

2002 12TH Ave NW
Suite B
Ardmore, OK 73401-1206
Phone (580) 221-2022

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220104OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical PLLC CurrentSince Oct 7, 2024 Accepting new patients
Genesis Medical PLLC CurrentSince Oct 7, 2024 Accepting new patients

Locations

1414 Arlington St
Ste 2000
Ada, OK 74820
Phone (580) 279-6901

2002 12th Ave NW
Ardmore, OK 73401
Phone (580) 223-4795

2002 12th Ave NW
Ste B
Ardmore, OK 73401
Phone (580) 221-2022

Organizations & group practices 2

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 9

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": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1427566009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10840 MAIN CAMP RD",
            "city": "DAVIS",
            "state": "OK",
            "postal_code": "730309405",
            "telephone_number": "936-328-6671",
            "fax_number": "580-221-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 12TH AVE NW STE B",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011206",
            "telephone_number": "580-221-2022",
            "fax_number": "580-221-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ASHLEY",
        "middle_name": "DILL",
        "credential": "APRN- CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "220104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.