Individual provider Active NPI

Ashley S Black, APRN-BC

  • Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1639477227
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4138 Issued in SC
Practice address
100 Healthy Way
Suite 1250
Anderson, SC 29621-7915
Phone
(864) 512-6927
Fax
(864) 512-6687
NPI assigned
Mar 4, 2011
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4138 SC Primary

Addresses

Primary practice location

100 Healthy Way
Suite 1250
Anderson, SC 29621-7915

Mailing address

PO Box 100174
Columbia, SC 29202-3174
Phone (864) 512-6927

Other identifiers 1

IdentifierTypeStateIssuer
NP2003MedicaidSC

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
I20111005000025 SC Practitioner - Nurse Practitioner 6608048178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed HealthGroup PAC ID 1951215243, shared by 12 NPIs, 348 clinicians

Practice addresses (Care Compare)

100 Healthy Way
Suite 1250
Anderson, SC 29621-7917
Phone (864) 224-2465

895 Tiger Blvd
Clemson, SC 29631-1480
Phone (864) 654-6800

Hospital & facility affiliations

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4138SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health CurrentSince Feb 7, 2012 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health CurrentSince Feb 7, 2012 Accepting new patients
Anmed Health CurrentSince Mar 21, 2025 Accepting new patients
Anmed Health Nurse Practitioner Past Accepting new patients

Locations

100 Healthy Way
Ste 1250
Anderson, SC 29621
Phone (864) 224-2465

2000 E Greenville St
Ste 3700
Anderson, SC 29621
Phone (864) 512-1473

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

895 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

Interoperability endpoints

  • Direct secure messaging: ablack10742@direct.anmedhealth.net

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1639477227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100174",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023174",
            "telephone_number": "864-512-6927",
            "fax_number": "864-512-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTHY WAY",
            "address_2": "SUITE 1250",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217915",
            "telephone_number": "864-512-6927",
            "fax_number": "864-512-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "ASHLEY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-04",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "4138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2003",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.