Individual provider Active NPI

Ashly M. Acosta, CRNP

  • Nurse Practitioner
  • Irvington, AL
National Provider Identifier
1730744012
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-078431 Issued in AL
Practice address
12701 Padgett Switch Rd
Irvington, AL 36544-4011
Phone
(251) 824-2174
NPI assigned
May 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-078431 AL Primary

Addresses

Primary practice location

12701 Padgett Switch Rd
Irvington, AL 36544-4011

Mailing address

6801 Airport Blvd
Mobile, AL 36608-3709
Phone (251) 266-3580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230505000411 AL Practitioner - Nurse Practitioner 4385009836 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayou la Batre Area Health Development Board, Inc.Group PAC ID 3577472810, 15 clinicians

Practice addresses (Care Compare)

12701 Padgett Switch Rd
Irvington, AL 36544-4011
Phone 25182421745412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-078431ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Hospital CurrentSince Feb 16, 2023 Accepting new patients
Providence Hospital Current Accepting new patients
Bayou la Batre Area Health Development Board, Inc. CurrentSince Jun 6, 2025 Accepting new patients
Bayou la Batre Area Health Development Board, Inc. CurrentSince Jun 6, 2025 Accepting new patients
Providence Hospital CurrentSince Feb 16, 2023 Accepting new patients
USA Health Community Providers LLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

12701 Padgett Switch Rd
Irvington, AL 36544
Phone (251) 824-2174

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIEDDD

Organizations & group practices 6

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": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1730744012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083709",
            "telephone_number": "251-266-3580",
            "fax_number": "251-266-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 PADGETT SWITCH RD",
            "city": "IRVINGTON",
            "state": "AL",
            "postal_code": "365444011",
            "telephone_number": "251-824-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "ASHLY",
        "middle_name": "M.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-078431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, AL

Sources for this page

Verify at the official NPI Registry.