Ashley Wills, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1054567 Issued in TX

Practice address

12100 Samsung Blvd
Austin, TX 78754-1903

Phone

(512) 672-1050

NPI assigned

Sep 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ashley Cullen Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21581/brand/2/csg/1/fhir/r4

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.

• Lewis Family Medicine

  • Family Medicine Physician
  • Dripping Springs, TX
  • NPI 1174965073
  Medicare reassignment NPD
• Lewis Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Dripping Springs, TX
  • NPI 1083082556
  Medicare reassignment NPD

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1730859018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LONG CREEK RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787379303",
            "telephone_number": "267-847-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 SAMSUNG BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787541903",
            "telephone_number": "512-672-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "ASHLEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1054567",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1054576",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "CULLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vickie Willoughby, DO
• Willow Anesthesia Management, LLC
• Willow Behavioral Health LLC.
• Willow Home Care Services LLC
• Willow Tree Collective PLLC
• Jessica Wills, FNP-C
• Katherine Otecca Wills, AGACNP-BC
• Sharon M. Wills, PH.D.
• Wilmette Psychotherapy Associates, LTD
• Megan Wilridge

• Gerontology Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.