Individual provider Active NPI

Ashlyn Utroska

  • Family Nurse Practitioner
  • Kosciusko, MS
National Provider Identifier
1730070293
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
907533 Issued in MS
Practice address
608 White Oak Dr
Kosciusko, MS 39090-3272
Phone
(662) 739-7259
NPI assigned
Jul 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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 907533 MS Primary

Addresses

Primary practice location

608 White Oak Dr
Kosciusko, MS 39090-3272

Mailing address

608 White Oak Dr
Kosciusko, MS 39090-3272

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
I20260410003231 MS Practitioner - Nurse Practitioner 3072088657 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Medical Providers LLCGroup PAC ID 5496295560, 3 clinicians
Choctaw Regional Medical CenterGroup PAC ID 2567682206, 39 clinicians

Practice addresses (Care Compare)

141 Township Ave
Suite 107
Ridgeland, MS 39157-8697
Phone (601) 201-3121

8613 Ms Hwy 12
Ackerman, MS 39735-8917
Phone (662) 285-9460

Hospital & facility affiliations

  • Accentcare Home Health of Carthage Home health agency, Carthage, MS, CCN 257129
  • Choctaw Regional Medical Center Hospital, Ackerman, MS, CCN 251334
  • Baptist Medical Center-Leake Hospital, Carthage, MS, CCN 251315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
907533MSMDFamily Nurse Practitioner

Organizations & group practices 7

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 3

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": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1730070293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 WHITE OAK DR",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 WHITE OAK DR",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903272",
            "telephone_number": "662-739-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTROSKA",
        "first_name": "ASHLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kosciusko, MS

Sources for this page

Verify at the official NPI Registry.