Individual provider Active NPI

Ashley Henegar

  • Medical Physician Assistant
  • Bluefield, WV
National Provider Identifier
1659623817
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
01666 Issued in WV
Practice address
1027 Frederick St
Bluefield, WV 24701-3942
Phone
(304) 325-8104
NPI assigned
Oct 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 01666 WV Primary

Addresses

Primary practice location

1027 Frederick St
Bluefield, WV 24701-3942

Mailing address

301 Cove St
Bluefield, VA 24605-9667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20200812003648 KY Practitioner - Physician Assistant 4981020559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Mso LLCGroup PAC ID 0749450633, 53 clinicians

Practice addresses (Care Compare)

1140 Lexington Rd
Georgetown, KY 40324-9330

1152 Lexington Rd
Georgetown, KY 40324-9330
Phone (502) 868-5603

1154 Lexington Rd
Georgetown, KY 40324-9330
Phone (502) 863-3303

175 Hospital Dr
Suite 120
Georgetown, KY 40324
Phone (502) 570-2324

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
01666WVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Mso LLC CurrentSince Jun 1, 2020 Accepting new patients
Kentucky Mso LLC CurrentSince Jun 1, 2020 Accepting new patients
Kentucky Mso LLC Past Accepting new patients

Locations

1152 Lexington Rd
Georgetown, KY 40324
Phone (502) 570-4003

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

1140 Lexington Rd
Ste 202
Georgetown, KY 40324
Phone (502) 868-1100

225 Hospital Dr
Ste 325
Winchester, KY 40391
Phone (502) 868-5603

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: ashley.henegar.1@19475.direct.athenahealth.com

Organizations & group practices 4

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 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": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1659623817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 COVE ST",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246059667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 FREDERICK ST",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013942",
            "telephone_number": "304-325-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENEGAR",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "01666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, WV

Sources for this page

Verify at the official NPI Registry.