Individual provider Active NPI

Ashley Naquin Stolz, FNP

  • Nurse Practitioner
  • New York, NY
National Provider Identifier
1588217772
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
350130 Issued in NY
Practice address
30 Broad St FL 45
New York, NY 10004-2942
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Jul 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN287314 GA
Family Nurse Practitioner 363LF0000X 26905 SC
Nurse Practitioner 363L00000X 350130 NY Primary

Addresses

Primary practice location

30 Broad St FL 45
New York, NY 10004-2942

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

410 Epting Ave
Greenwood, SC 29646-4040
Phone (864) 725-5326

Other practice location 2

109 Tipton Dr
Dahlonega, GA 30533-1604
Phone (706) 864-1580

Other practice location 3

134 Ansley Dr Ste 400
Dahlonega, GA 30533-1642
Phone (706) 864-1580

Other practice location 4

227 Mountain Dr
Dahlonega, GA 30533-1606
Phone (706) 867-4110

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anaquin101707@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20230309000073 SC Practitioner - Nurse Practitioner 8022348259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
350130NYMDNurse Practitioner
RN287314GAMDFamily Nurse Practitioner
26905SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Self Medical Group CurrentSince Jan 1, 2023 Accepting new patients
Self Medical Group Current Accepting new patients
Self Medical Group Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients
Dahlonega Internal Medicine PastSince Jul 25, 2019 Accepting new patients

Locations

75 Remittance Dr
Dept 6764
Chicago, IL 60675

410 Epting Ave
Greenwood, SC 29646
Phone (864) 725-5326

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

Interoperability endpoints

  • Direct secure messaging: astolz539345@selfregional.direct-ci.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1588217772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BROAD ST FL 45",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042942",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Epting Ave",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296464040",
            "country_code": "US",
            "telephone_number": "864-725-5326",
            "fax_number": "864-725-5327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Tipton Dr",
            "address_purpose": "LOCATION",
            "city": "Dahlonega",
            "state": "GA",
            "postal_code": "305331604",
            "country_code": "US",
            "telephone_number": "706-864-1580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "134 Ansley Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Dahlonega",
            "state": "GA",
            "postal_code": "305331642",
            "country_code": "US",
            "telephone_number": "706-864-1580",
            "fax_number": "770-219-9561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 Mountain Dr",
            "address_purpose": "LOCATION",
            "city": "Dahlonega",
            "state": "GA",
            "postal_code": "305331606",
            "country_code": "US",
            "telephone_number": "706-867-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOLZ",
        "first_name": "ASHLEY",
        "middle_name": "NAQUIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN287314",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "26905",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "350130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anaquin101707@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "227 Mountain Dr",
            "city": "Dahlonega",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305331606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.