Individual provider Active NPI

Ashley Nicole Bibb

  • Family Nurse Practitioner
  • Hayti, MO
National Provider Identifier
1689470528
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2025006771 Issued in MO
Practice address
946 E Reed St
Hayti, MO 63851-1243
Phone
(573) 359-6162
NPI assigned
Feb 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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 2025006771 MO Primary
Registered Nurse 163W00000X 2016025874 MO

Addresses

Primary practice location

946 E Reed St
Hayti, MO 63851-1243

Mailing address

500 S Main St
Cardwell, MO 63829-7187

Other practice location 1

500 S Main St
Cardwell, MO 63829-7187
Phone (870) 476-2370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20250718000112 MO Practitioner - Nurse Practitioner 5698281665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pemiscot County Memorial HospitalGroup PAC ID 8426024159, 22 clinicians

Practice addresses (Care Compare)

946 E Reed St
Hayti, MO 63851-1243

Hospital & facility affiliations

  • Pemiscot County Memorial Hospital Hospital, Hayti, MO, CCN 260780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016025874MOMDRegistered Nurse
2025006771MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pemiscot County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Pemiscot County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Pemiscot County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients

Locations

946 E Reed St
Hayti, MO 63851
Phone (573) 359-3408

907 E Reed St
Hayti, MO 63851
Phone (573) 359-3230

Organizations & group practices 8

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": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1689470528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S MAIN ST",
            "city": "CARDWELL",
            "state": "MO",
            "postal_code": "638297187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 E REED ST",
            "city": "HAYTI",
            "state": "MO",
            "postal_code": "638511243",
            "telephone_number": "573-359-6162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 S Main St",
            "address_purpose": "LOCATION",
            "city": "Cardwell",
            "state": "MO",
            "postal_code": "638297187",
            "country_code": "US",
            "telephone_number": "870-476-2370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIBB",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025006771",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2016025874",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayti, MO

Sources for this page

Verify at the official NPI Registry.