Individual provider Active NPI

Ashley P Stidham, NP

  • Family Nurse Practitioner
  • Bristol, TN
National Provider Identifier
1649644055
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20368 Issued in TN
Practice address
271 Medical Park Blvd
Bristol, TN 37620-7455
Phone
(423) 274-8600
NPI assigned
Nov 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024195027 VA
Family Nurse Practitioner 363LF0000X 20368 TN Primary

Addresses

Primary practice location

271 Medical Park Blvd
Bristol, TN 37620-7455

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

1 Medical Park Blvd Ste 458W
Bristol, TN 37620-7456
Phone (423) 844-4800

Other practice location 2

16000 Johnston Memorial Dr Ste 212
Abingdon, VA 24211-7664
Phone (276) 258-3740

Other practice location 3

245 Medical Park Dr Ste A
Marion, VA 24354-1100
Phone (276) 378-1000

Other identifiers 1

IdentifierTypeStateIssuer
Q018981MedicaidTN

Other names 1

  • Ashley M Pannell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151222001900 TN Practitioner - Nurse Practitioner 2860793528 Reassigns benefits to 1 organization
I20260129003676 VA Practitioner - Nurse Practitioner 2860793528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Cardiology ServicesGroup PAC ID 5799970281, 137 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

2050 Meadowview Pkwy
Kingsport, TN 37660-7475
Phone (423) 230-5000

245 Medical Park Dr
Suite a
Marion, VA 24354-1100
Phone (276) 378-1260

271 Medical Park Blvd
Bristol, TN 37620-7455
Phone (423) 274-8600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
20368TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Cardiology Services Nurse Practitioner CurrentSince Oct 17, 2016 Accepting new patients
Wellmont Medical Associates, Inc. PastSince Sep 1, 2019 Accepting new patients

Locations

1 Medical Park Blvd
Ste 458W
Bristol, TN 37620
Phone (423) 230-6900

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

2050 Meadowview Pkwy
Kingsport, TN 37660

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

245 Medical Park Dr
Ste A
Marion, VA 24354
Phone (276) 378-1000

127 Health Care Dr
Ste 3
Pennington Gap, VA 24277
Phone (276) 299-5000

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 and National Provider Directory roles.

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": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1649644055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 MEDICAL PARK BLVD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207455",
            "telephone_number": "423-274-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Park Blvd Ste 458W",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207456",
            "country_code": "US",
            "telephone_number": "423-844-4800",
            "fax_number": "423-230-6905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr Ste 212",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-258-3740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Medical Park Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243541100",
            "country_code": "US",
            "telephone_number": "276-378-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIDHAM",
        "first_name": "ASHLEY",
        "middle_name": "P",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024195027",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q018981",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "PANNELL",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.