Ashley Rae Walicki, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP027379 Issued in PA

Practice address

1097B N Church St
Hazle Township, PA 18202-1465

Phone

(272) 639-5650

NPI assigned

Mar 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Luke'S Hospital -Monroe CampusGroup PAC ID 1355637059, 53 clinicians

St Luke'S HospitalGroup PAC ID 0648189688, 100 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashley.walicki@slpg.direct-sluhn.org

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.

• St. Luke'S Hospital

  • Urgent Care Clinic/Center
  • Bethlehem, PA
  • NPI 1740232719
  Medicare reassignment Care Compare group NPD
• St. Luke'S Hospital Monroe Campus

  • Occupational Medicine Physician
  • Stroudsburg, PA
  • NPI 1609311257
  Medicare reassignment Care Compare group NPD
• GSL Hospital

  • Urgent Care Clinic/Center
  • Pottsville, PA
  • NPI 1073256608
  Medicare reassignment NPD
• St. Luke'S Hosptial

  • Urgent Care Clinic/Center
  • Wind Gap, PA
  • NPI 1376965731
  Medicare reassignment NPD
• St. Luke'S Quakertown Hospital

  • Anatomic Pathology & Clinical Pathology Physician
  • Quakertown, PA
  • NPI 1225052616
  Medicare reassignment NPD
• The Carbon-Schuylkill Community Hospital, Inc.

  • Emergency Medicine Physician
  • Coaldale, PA
  • NPI 1194891010
  Medicare reassignment NPD
• St Luke'S Hospital

  • General Acute Care Hospital
  • Easton, PA
  • NPI 1376339226
  NPD
• St Lukes Hospital

  • Urgent Care Clinic/Center
  • Easton, PA
  • NPI 1508343906
  NPD
• St. Luke'S Hospital - Anderson Campus

  • Psychiatric Hospital Unit
  • Easton, PA
  • NPI 1023689676
  NPD
• St. Luke'S Hospital Monroe Campus

  • Urgent Care Clinic/Center
  • Pocono Summit, PA
  • NPI 1063177327
  NPD
• St. Luke'S Hospital Monroe Campus

  • Urgent Care Clinic/Center
  • East Stroudsburg, PA
  • NPI 1467175489
  NPD
• St. Luke'S Quakertown Hospital

  • Urgent Care Clinic/Center
  • Lansdale, PA
  • NPI 1326920836
  NPD

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1548964604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097B N CHURCH ST",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097B N CHURCH ST",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021465",
            "telephone_number": "272-639-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALICKI",
        "first_name": "ASHLEY",
        "middle_name": "RAE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP027379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP.
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• Alexis R Wylam, OD
• Linda Yan
• Leeann Yetter

• Nurse Practitioner in Hazle Township, PA
• Providers in Hazle Township, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.