Individual provider Active NPI

Ashley Mary McIlhenny, NP

  • Adult Health Nurse Practitioner
  • Long Island City, NY
National Provider Identifier
1528215720
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F310696-01 Issued in NY
Practice address
3425 Vernon Blvd
Long Island City, NY 11106-5121
Phone
(917) 864-1252
NPI assigned
Aug 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405248 NY
Women's Health Nurse Practitioner 363LW0102X F42191-01 NY
Women's Health Nurse Practitioner 363LW0102X 18488 CA
Adult Health Nurse Practitioner 363LA2200X F310696-01 NY Primary

Addresses

Primary practice location

3425 Vernon Blvd
Long Island City, NY 11106-5121

Mailing address

3425 Vernon Blvd
Long Island City, NY 11106-5121
Phone (917) 864-1252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150619002068 CA Practitioner - Nurse Practitioner 0042521833 Reassigns benefits to 2 organizations
I20240328003554 NY Practitioner - Nurse Practitioner 0042521833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Houses of Long Island IncGroup PAC ID 4880584101, 10 clinicians

Practice addresses (Care Compare)

3425 Vernon Blvd
Long Island City, NY 11106-5121
Phone (212) 831-1555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18488CAMDAcupuncturist
F310696-01NYMDAdult Health Nurse Practitioner
405248NYMDPsychiatric/Mental Health Nurse Practitioner
F42191-01NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Jan 1, 2021 Accepting new patients
Los Angeles LGBT Center CurrentSince Apr 12, 2015 Accepting new patients
Los Angeles LGBT Center CurrentSince Apr 12, 2015 Accepting new patients
Phoenix Houses of Long Island, Inc. CurrentSince Jun 21, 2023 Accepting new patients
County of Los Angeles CurrentSince Jan 1, 2021 Accepting new patients

Locations

1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240

1670 E 120th St
Los Angeles, CA 90059
Phone (424) 338-1000

1625 Schrader Blvd
Fl 3
Los Angeles, CA 90028
Phone (323) 993-7400

1625 Schrader Blvd
Los Angeles, CA 90028
Phone (323) 993-7400

3425 Vernon Blvd
Long Island City, NY 11106
Phone (212) 831-1555

998 Crooked Hill Rd
West Brentwood, NY 11717
Phone (631) 306-5732

Interoperability endpoints

  • Direct secure messaging: ashley.mcilhennyrnp.p1@direct.plannedparenthoodla.nextgenshare.com

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": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1528215720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 VERNON BLVD",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111065121",
            "telephone_number": "917-864-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 VERNON BLVD",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111065121",
            "telephone_number": "917-864-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCILHENNY",
        "first_name": "ASHLEY",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405248",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F42191-01",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "18488",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F310696-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.