Ashley Lynn Nichols, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Timpson, TX
NPI 1639619943 · NPPES record last updated Jun 18, 2018
Key facts
- NPI
- 1639619943
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APP133508 (TX)
- Practice address
- 507 Jacob St
Timpson, TX 75975 - Phone
- (936) 254-3338
- Fax
- (936) 254-3339
- NPI assigned
- Mar 6, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Texas Physician Services, PLLC
Practice addresses (Care Compare)
2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 541-4500
Hospital & facility affiliations
- Christus Mother Frances Hospital- Jacksonville
- Christus Mother Frances Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170329000203 | TX | Practitioner - Nurse Practitioner | 1355626615 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APP133508 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trincare Inc | Current | Accepting new patients | |
| Texas Quick Care, LLC | Current |
Accepting new patients | |
| Mother Frances Hospital Regional Health Care Center | Current |
Accepting new patients | |
| North Texas Physician Services, PLLC | Current |
Accepting new patients | |
| Christus Trinity Clinic Texas | Current |
Accepting new patients | |
| Mother Frances Hospital Jacksonville | Current |
Accepting new patients | |
| Texas Quick Care, LLC | Current |
Accepting new patients | |
| Christus Trinity Clinic Texas | Current |
Accepting new patients |
Locations
233 Hurst St
Center, TX 75935
Phone (936) 591-8171
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
12815 US Highway 84 E
Joaquin, TX 75954
Phone (936) 220-1442
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
Interoperability endpoints
- anichols155637@christushealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APP133508 | TX | Yes |
Addresses
Primary practice location
507 Jacob St
Timpson, TX 75975
Mailing address
PO Box 847522
Dallas, TX 75284-7522
Phone (903) 531-5000
Other practice location 1
507 Jacob St
Timpson, TX 75975-5255
Phone (936) 254-3338
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371981702 | Medicaid | TX | |
| P02028472 | Other | TX | MEDICARE RAIL ROAD |
| 647220 | Other | TX | MEDICARE |
Other providers in Timpson, TX
- Jessica Gatlin
- Phyllis Ann Goodwin
- Rose Mary Horst
- Lavender and Lace Birth & Womens Health Services PLLC
- Meagan Cockrell Mackey
- Ladrena Noel Parker
- Celina Serna
- Arlisia Evette Stansberry
- Texas Quick Care, LLC
- Texas Quick Care, LLC
All providers in Timpson, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.