Individual provider Active NPI

Ashley Nicole Glaus, MSN, FNP-C

  • Family Nurse Practitioner
  • Imperial, MO
National Provider Identifier
1568077006
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020023122 Issued in MO
Practice address
1125 Imperial Main
Imperial, MO 63052
Phone
(636) 206-8051
NPI assigned
Sep 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2020023122 MO Primary

Addresses

Primary practice location

1125 Imperial Main
Imperial, MO 63052

Mailing address

1125 Imperial Main
Imperial, MO 63052
Phone (636) 206-8051

Other practice location 1

1001 S Kirkwood Rd
Kirkwood, MO 63122-7254
Phone (314) 543-5970

Other names 1

  • Ashley Nicole Brown Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashley.brown3@mercy.net

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
I20201207002863 MO Practitioner - Nurse Practitioner 3577975010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy East Ambulatory Services LLCGroup PAC ID 2365739240, 102 clinicians

Practice addresses (Care Compare)

1125 Main St
Imperial, MO 63052-2323
Phone (636) 206-8051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
2020023122MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy East Ambulatory Services LLC CurrentSince Oct 31, 2022 Accepting new patients

Locations

1125 Main St
Imperial, MO 63052
Phone (636) 206-8051

409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764

901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777

Organizations & group practices 1

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": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1568077006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 IMPERIAL MAIN",
            "city": "IMPERIAL",
            "state": "MO",
            "postal_code": "63052",
            "telephone_number": "636-206-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 IMPERIAL MAIN",
            "city": "IMPERIAL",
            "state": "MO",
            "postal_code": "63052",
            "telephone_number": "636-206-8051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 S Kirkwood Rd",
            "address_purpose": "LOCATION",
            "city": "Kirkwood",
            "state": "MO",
            "postal_code": "631227254",
            "country_code": "US",
            "telephone_number": "314-543-5970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLAUS",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020023122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.brown3@mercy.net",
            "affiliation": "N",
            "address_1": "1001 S Kirkwood Rd",
            "city": "Kirkwood",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631227254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BROWN",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Imperial, MO

Sources for this page

Verify at the official NPI Registry.