Ashley Lauren Anderson, FNP
Individual provider Active NPI Family Nurse Practitioner · Ticonderoga, NY
NPI 1457744914 · NPPES record last updated Sep 14, 2025
Key facts
- NPI
- 1457744914
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 356966 (NY)
- Practice address
- 101 Adirondack Dr Ste 2
Ticonderoga, NY 12883-9334 - Phone
- (518) 585-6708
- Fax
- (518) 585-3260
- NPI assigned
- Mar 9, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hudson Headwaters Health Network
Practice addresses (Care Compare)
101 Adirondack Dr
Suite 2
Ticonderoga, NY 12883-9334
Phone (518) 585-6708
Hospital & facility affiliations
- Elizabethtown Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20250926004296 | NY | Practitioner - Nurse Practitioner | 6901301019 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 356966 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Headwaters Health Network | Current |
Accepting new patients | |
| Hudson Headwaters Health Network | Current |
Accepting new patients | |
| Hudson Headwaters Health Network | Current | Accepting new patients | |
| Minerva Central School District | Past | Accepting new patients |
Locations
100 Broad St
Glens Falls, NY 12801
Phone (518) 792-2223
9 Carey Rd
Queensbury, NY 12804
101 Adirondack Dr
Ste 2
Ticonderoga, NY 12883
Phone (518) 585-6708
3767 Main St
Warrensburg, NY 12885
Phone (518) 623-2844
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 356966 | NY | Yes |
Addresses
Primary practice location
101 Adirondack Dr Ste 2
Ticonderoga, NY 12883-9334
Mailing address
9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300
Other practice location 1
33 Tom Phelps Ln
Mineville, NY 12956-0480
Phone (518) 942-7123
Other practice location 2
3767 Main St
Warrensburg, NY 12885-1890
Phone (518) 623-2844
Other practice location 3
100 Broad St
Glens Falls, NY 12801-4349
Phone (518) 792-2223
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ashley.anderson.1@1823.direct.athenahealth.com | ||
| Direct Messaging Address | ashley.anderson.1@1823.direct.athenahealth.com | ||
| Direct Messaging Address | ashley.anderson.1@1823.direct.athenahealth.com | ||
| Direct Messaging Address | ashley.anderson.1@1823.direct.athenahealth.com |
Other providers in Ticonderoga, NY
- 1019 Wicker Street Operating Company, LLC
- Adirondack Optical Outfitters
- Carolyn A Andersen
- Elizabeth Anderson
- Karl Auerbach
- Joanne Bartlett
- Francine Brett Bassett
- Dawn M Bazan
All providers in Ticonderoga, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2025. 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.