Ashley Nicole Stites, APRN, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0102956 Issued in OK

Practice address

108 W Main St
Tishomingo, OK 73460-1723

Phone

(580) 774-3548

Fax

(580) 387-5031

NPI assigned

May 16, 2019

Last updated

Nov 5, 2024By the provider in NPPES

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 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ada Health First IncGroup PAC ID 7911148465, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Complete Home Health of Tishomingo LLC Home health agency, Tishomingo, OK, CCN 377704
• Mercy Hospital Tishomingo Inc Hospital, Tishomingo, OK, CCN 371304
• Mercy Hospital Ardmore, Inc Hospital, Ardmore, OK, CCN 370047

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

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.

• Ada Health First Inc

  • Medical Physician Assistant
  • Ada, OK
  • NPI 1023356342

  Family

  Medicare reassignment Care Compare group NPD
• Main Medical Clinic LLC

  dba Main Street Medical

  • Family Nurse Practitioner
  • Tishomingo, OK
  • NPI 1710758966
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Complete Home Health of Tishomingo LLC

  • Home Health Agency
  • Tishomingo, OK
  • NPI 1891116232
  Care Compare affiliation
• Mercy Hospital Ardmore, Inc.

  • General Acute Care Hospital
  • Ardmore, OK
  • NPI 1386741635
  Care Compare affiliation
• Mercy Hospital Tishomingo, Inc.

  dba Mercy Hospital Tishomingo

  • Critical Access Hospital
  • Tishomingo, OK
  • NPI 1932404431
  Care Compare affiliation

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1568028371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W MAIN ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734601723",
            "telephone_number": "580-774-3548",
            "fax_number": "580-387-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W MAIN ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734601723",
            "telephone_number": "580-774-3548",
            "fax_number": "580-387-5031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1402 Brookview Dr",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "OK",
            "postal_code": "734011219",
            "country_code": "US",
            "telephone_number": "580-226-9390",
            "fax_number": "580-226-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STITES",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0102956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Elizabeth Stacy, BS, BHRS
• Tommie Gay Stanberry, PA-C
• Jennifer Nicole Standridge
• Cody Don Stephens
• Kalyn Michelle Stephens, LPC
• Marion C Straub, BHRS
• Sunshine Hospice, Inc
• Ethan Wade Taylor
• Texoma Physical Therapy & Rehabilitation Clinic, LLC
• Texoma Rural Health Center

• Family Nurse Practitioner in Tishomingo, OK
• Providers in Tishomingo, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.