Individual provider Active NPI

Ashley Marie Hlad, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Ellsworth, KS
National Provider Identifier
1639698541
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-77801-022 Issued in KS
Practice address
1602 Aylward Ave
Ellsworth, KS 67439-2541
Phone
(785) 472-3111
Fax
(785) 472-5760
NPI assigned
Sep 12, 2017
Last updated
Oct 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 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 53-77801-022 KS Primary

Addresses

Primary practice location

1602 Aylward Ave
Ellsworth, KS 67439-2541

Mailing address

1602 Aylward Ave
Ellsworth, KS 67439-2541
Phone (785) 472-3111

Other names 1

  • Ashley Marie Moomaw Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahlad@ewmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20171017002830 KS Practitioner - Nurse Practitioner 2567738677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellsworth County Medical CenterGroup PAC ID 5395643357, shared by 6 NPIs, 13 clinicians

Practice addresses (Care Compare)

1602 Aylward Ave
Ellsworth, KS 67439-2541
Phone (785) 810-1177

1604 Aylward Ave
Ellsworth, KS 67439-2541
Phone (785) 472-3111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-77801-022KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ellsworth County Medical Center CurrentSince Nov 1, 2021 Accepting new patients
Ellsworth County Medical Center CurrentSince Nov 1, 2021 Accepting new patients

Locations

1602 Aylward Ave
Ellsworth, KS 67439
Phone (785) 472-3111

1604 Aylward Ave
Ellsworth, KS 67439
Phone (785) 472-3111

Organizations & group practices 2

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 3

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": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1639698541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 AYLWARD AVE",
            "city": "ELLSWORTH",
            "state": "KS",
            "postal_code": "674392541",
            "telephone_number": "785-472-3111",
            "fax_number": "785-472-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 AYLWARD AVE",
            "city": "ELLSWORTH",
            "state": "KS",
            "postal_code": "674392541",
            "telephone_number": "785-472-3111",
            "fax_number": "785-472-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HLAD",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-77801-022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahlad@ewmed.com",
            "affiliation": "N",
            "address_1": "1602 Aylward Ave",
            "city": "Ellsworth",
            "state": "KS",
            "country_code": "US",
            "postal_code": "674392541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "MOOMAW",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellsworth, KS

Sources for this page

Verify at the official NPI Registry.