Active NPI
Ashley Marie Titchenal, AGNP
- Nurse Practitioner
- Alton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209020653
- Practice address
- 4 Memorial Dr Ste 130
Alton, IL 62002-6704 - Phone
- (618) 463-7600
- Fax
- (618) 463-7601
- NPI assigned
- Nov 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209020653 | IL | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 2019040757 | MO |
Addresses
Primary practice location
4 Memorial Dr Ste 130
Alton, IL 62002-6704
Mailing address
PO Box 959203
Saint Louis, MO 63195-9203
Phone (618) 463-7600
Other practice location 1
4921 Parkview Pl
Div Surg Plastics, Ste 6G
Saint Louis, MO 63110-1032
Phone (314) 362-7388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420080861 | Medicaid | MO |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 | Health Information Exchange (HIE) | |
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 233-7750
4921 Parkview PL
Suite G6TH
Saint Louis, MO 63110-1032
Phone (314) 362-7388
Hospital & facility affiliations
- Barnes Jewish Hospital
- Alton Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.2 of 100
- Quality
- 71.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019040757 | MO | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morningstar Neuropathy & Pain Treatment Center LLC | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients | |
| St. Louis Heart & Vascular, P.C. | Current | Accepting new patients | |
| Morningstar Chiropractic & Rehabilitation Center LTD | Current | Accepting new patients | |
| Washington University | Past | Accepting new patients |
Locations
3733 S State Route 159
Glen Carbon, IL 62034
Phone (618) 288-8090
2120 Madison Ave
Ste 101
Granite City, IL 62040
Phone (618) 798-3000
2266 Madison Ave
Granite City, IL 62040
Phone (618) 288-8090
4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750
3550 McKelvey Rd
Bridgeton, MO 63044
Phone 31474109114048
507 W Pine St
Farmington, MO 63640
Phone (573) 454-2466
2 Progress Point Pkwy
O Fallon, MO 63368
Phone (636) 344-1000
660 S Euclid Ave
Saint Louis, MO 63110
4921 Parkview Pl
Ste 6G
Saint Louis, MO 63110
Phone (314) 362-7388
11155 Dunn Rd
Ste 304E
Saint Louis, MO 63136
Phone 3147410911 ext. 4012
1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
4710 Mexico Rd
Saint Peters, MO 63376
Phone (636) 244-0124
Interoperability endpoints
- titchena@yourcarecommunity.org
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1487694337
-
- Multi-Specialty Clinic/Center
- O Fallon, IL
- NPI 1477076263
-
- General Practice Physician
- Saint Peters, MO
- NPI 1073184248
-
- Chiropractor
- Glen Carbon, IL
- NPI 1467460733
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1962442475
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1134169568
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alton, IL
- NPI 1548278476
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1609411784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 959203",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631959203",
"telephone_number": "618-463-7600",
"fax_number": "618-463-7601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 MEMORIAL DR STE 130",
"city": "ALTON",
"state": "IL",
"postal_code": "620026704",
"telephone_number": "618-463-7600",
"fax_number": "618-463-7601"
}
],
"practiceLocations": [
{
"address_1": "4921 Parkview Pl",
"address_2": "Div Surg Plastics, Ste 6G",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631101032",
"country_code": "US",
"telephone_number": "314-362-7388",
"fax_number": "833-301-0853",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TITCHENAL",
"first_name": "ASHLEY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "AGNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-12",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209020653",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MO",
"license": "2019040757",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "420080861",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4 Memorial Dr Ste 130",
"city": "Alton",
"state": "IL",
"country_code": "US",
"postal_code": "620026704",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "4921 Parkview Pl",
"address_2": "Div Surg Plastics, Ste 6G",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101032",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.