Individual provider Active NPI

Maghan Ashmore, FNP-BC

  • Primary Care Nurse Practitioner
  • Cleveland, MS
National Provider Identifier
1720624430
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
903659 Issued in MS
Practice address
810 E Sunflower Rd Ste 100a
Cleveland, MS 38732-2828
Phone
(662) 843-3606
Fax
(662) 846-7863
NPI assigned
Nov 18, 2019
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 903659 MS Primary

Addresses

Primary practice location

810 E Sunflower Rd Ste 100a
Cleveland, MS 38732-2828

Mailing address

810 E Sunflower Rd Ste 100a
Cleveland, MS 38732-2828
Phone (662) 843-3606

Other identifiers 1

IdentifierTypeStateIssuer
903659OtherMSLICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Cleveland Bolivar Physician Practices LLC
Other URL Cleveland Bolivar Physician Practices LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20201012001661 MS Practitioner - Nurse Practitioner 6901226042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bolivar Physician Practices LLCGroup PAC ID 6305995895, 17 clinicians

Practice addresses (Care Compare)

810 E Sunflower Rd
Suite 100 a
Cleveland, MS 38732-2828
Phone (662) 843-3606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903659MSMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bolivar Physician Practices LLC CurrentSince Jul 8, 2020 Accepting new patients
Bolivar Physician Practices LLC CurrentSince Jul 8, 2020 Accepting new patients
Bolivar Physician Practices LLC Past Accepting new patients

Locations

810 E Sunflower Rd
Ste 100A
Cleveland, MS 38732
Phone (662) 579-0118

907 E Sunflower Rd
Ste 102
Cleveland, MS 38732
Phone (662) 545-4443

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

Interoperability endpoints

  • Direct secure messaging: fil8538@yourcarecommunity.org
  • Direct secure messaging: maghan.ashmore.1@10381.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1720624430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E SUNFLOWER RD STE 100A",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322828",
            "telephone_number": "662-843-3606",
            "fax_number": "662-846-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E SUNFLOWER RD STE 100A",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322828",
            "telephone_number": "662-843-3606",
            "fax_number": "662-846-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHMORE",
        "first_name": "MAGHAN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MS",
            "license": "903659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "903659",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cleveland",
            "affiliation": "Y",
            "affiliationName": "Bolivar Physician Practices LLC",
            "address_1": "810 E Sunflower Rd Ste 100A",
            "city": "Cleveland",
            "state": "MS",
            "country_code": "US",
            "postal_code": "387322828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cleveland",
            "affiliation": "Y",
            "affiliationName": "Bolivar Physician Practices LLC",
            "address_1": "810 E Sunflower Rd Ste 100A",
            "city": "Cleveland",
            "state": "MS",
            "country_code": "US",
            "postal_code": "387322828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, MS

Sources for this page

Verify at the official NPI Registry.