Active NPI
Ashley P Stidham, NP
- Family Nurse Practitioner
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20368
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q018981 | Medicaid | TN |
Other names 1
- Ashley M Pannell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
- 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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20368 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Cardiology Services | Nurse Practitioner | Current | Accepting new patients |
| Wellmont Medical Associates, Inc. | Past | 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.
-
- Cardiovascular Disease Physician
- Kingsport, TN
- NPI 1376575035
Nurse Practitioner, VA
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1154789030
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bristol, TN
- NPI 1124058615
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
-
- General Acute Care Hospital
- Abingdon, VA
- NPI 1104812684
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.