Individual provider Active NPI

Ashley N Reese, RNCPNP

  • Critical Care Pediatric Nurse Practitioner
  • Festus, MO
National Provider Identifier
1477063253
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X
License
2017035765 Issued in MO
Practice address
35 Goodwin Dr
Festus, MO 63028-4122
Phone
(636) 933-4141
Fax
(636) 931-7007
NPI assigned
Oct 5, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pediatric Nurse Practitioner 363LP0222X 2017035765 MO Primary

Addresses

Primary practice location

35 Goodwin Dr
Festus, MO 63028-4122

Mailing address

35 Goodwin Dr
Festus, MO 63028-4122
Phone (636) 933-4141

Other practice location 1

1309 Maple St
Farmington, MO 63640-7641
Phone (573) 756-4343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20171229000419 MO Practitioner - Nurse Practitioner 6507124237 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017035765MOMDCritical Care Pediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Mines Health Center CurrentSince Dec 1, 2017 Accepting new patients
Great Mines Health Center CurrentSince Dec 1, 2017 Accepting new patients
Great Mines Health Center PastSince Jun 22, 2021 Accepting new patients
Great Mines Health Center PastSince Jun 22, 2021 Accepting new patients
Great Mines Health Center PastSince Oct 2, 2022 Accepting new patients
Ccpartners LLC Past Accepting new patients
Great Mines Health Center PastSince Oct 2, 2022 Accepting new patients
Great Mines Health Center PastSince Jun 6, 2021 Accepting new patients
Great Mines Health Center PastSince Mar 21, 2021 Accepting new patients
Great Mines Health Center PastSince Jun 22, 2021 Accepting new patients
Great Mines Health Center PastSince Sep 25, 2022 Accepting new patients
Great Mines Health Center PastSince Jun 22, 2021 Accepting new patients
Great Mines Health Center PastSince Aug 3, 2025 Accepting new patients
Great Mines Health Center Past Accepting new patients

Locations (25 of 36)

10047 Diamond Rd
Rm 2
Cadet, MO 63630

10047 Diamond Rd
Rm 809
Cadet, MO 63630
Phone (573) 438-4982

10047 Diamond Rd
Ste 809
Cadet, MO 63630

1 Black Knight Dr
Rm 1
Farmington, MO 63640

1 Black Knight Dr
Ste 1
Farmington, MO 63640

103 Murphy Ave
Farmington, MO 63640
Phone (573) 701-1350

103 Murphy Ave
Rm C2
Farmington, MO 63640

1040 Forster St
Farmington, MO 63640
Phone (573) 701-1340

1040 Forster St
Rm E2A
Farmington, MO 63640

1401 Maple St
Farmington, MO 63640
Phone (573) 664-1100

209 W College St
Farmington, MO 63640
Phone (573) 701-1370

209 W College St
Rm K19
Farmington, MO 63640

506 S Fleming St
Farmington, MO 63640

506 S Fleming St
Ofc A8
Farmington, MO 63640

608 Pine St
Ofc 2
Farmington, MO 63640

708 S Fleming St
Farmington, MO 63640
Phone (573) 701-1340

9 Summit Dr
Farmington, MO 63640
Phone (573) 701-1360

9 Summit Dr
Ofc B14
Farmington, MO 63640

1124 Main St
Ste NB103
Leadwood, MO 63653

206 Church St
Leadwood, MO 63653

206 Church St
#4
Leadwood, MO 63653

512 State St
Ste 101
Mineral Point, MO 63660

116 Rebel Dr
Rm 201
Park Hills, MO 63601
Phone (573) 431-2616

116 Rebel Dr
Ste 201
Park Hills, MO 63601

403 W Fite St
Rm 201
Park Hills, MO 63601
Phone (573) 431-2616

Interoperability endpoints

  • Direct secure messaging: ashley.reese@gmhc.eclinicaldirectplus.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1477063253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 GOODWIN DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284122",
            "telephone_number": "636-933-4141",
            "fax_number": "636-931-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 GOODWIN DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284122",
            "telephone_number": "636-933-4141",
            "fax_number": "636-931-7007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1309 Maple St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636407641",
            "country_code": "US",
            "telephone_number": "573-756-4343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REESE",
        "first_name": "ASHLEY",
        "middle_name": "N",
        "credential": "RNCPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "MO",
            "license": "2017035765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

Verify at the official NPI Registry.