Individual provider Active NPI

Ashley Marie Hettinger, APRN

  • Family Nurse Practitioner
  • New Albany, IN
National Provider Identifier
1669026258
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1144574 Issued in IN
Practice address
3122 Blackiston Mill Rd Ste B
New Albany, IN 47150-9501
Phone
(812) 725-1825
NPI assigned
Jul 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 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 1144574 IN Primary

Addresses

Primary practice location

3122 Blackiston Mill Rd Ste B
New Albany, IN 47150-9501

Mailing address

3122 Blackiston Mill Rd Ste B
New Albany, IN 47150-9501
Phone (812) 725-1825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190812002885 IN Practitioner - Nurse Practitioner 6709113855 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seyal Cardiology LLC CurrentSince Dec 29, 2019 Accepting new patients
Your Family and Heart Care Center With Personalized Prevention CurrentSince Aug 1, 2019 Accepting new patients

Locations

1455 Cedar St
Ste D
Clarksville, IN 47129
Phone (812) 725-1550

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1669026258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 BLACKISTON MILL RD STE B",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509501",
            "telephone_number": "812-725-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 BLACKISTON MILL RD STE B",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509501",
            "telephone_number": "812-725-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETTINGER",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "1144574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.