Individual provider Active NPI

Ashley N Hundelt, FNP-BC

  • Family Nurse Practitioner
  • Coulterville, IL
National Provider Identifier
1740720143
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209015688 Issued in IL
Practice address
203 E Grant St
Coulterville, IL 62237-1623
Phone
(618) 758-2331
Fax
(618) 758-2819
NPI assigned
Mar 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277002238 IL
Family Nurse Practitioner 363LF0000X 209015688 IL Primary

Addresses

Primary practice location

203 E Grant St
Coulterville, IL 62237-1623

Mailing address

PO Box 378
Sparta, IL 62286-0378
Phone (618) 443-1338

Other practice location 1

60 Regency Pl
Millstadt, IL 62260-2210
Phone (618) 476-3373

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmc@spartahospital.hin.us

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20170328002374 IL Practitioner - Nurse Practitioner 1951686294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
ComwellGroup PAC ID 6709848831, 3 clinicians

Practice addresses (Care Compare)

10257 State Route 3
Red Bud, IL 62278-4418
Phone (618) 282-6233

203 E Grant St
Coulterville, IL 62237-1623
Phone (618) 758-2331

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sparta Community Hospital D/B/a Quality Healthcare Clinics CurrentSince Apr 12, 2018 Accepting new patients
Comwell CurrentSince Jul 15, 2021 Accepting new patients
Comwell PastSince Jul 15, 2021 Accepting new patients

Locations

203 E Grant St
Coulterville, IL 62237
Phone (618) 758-2331

109 W Elm St
Okawville, IL 62271
Phone (618) 243-2091

10257 State Route 3
Red Bud, IL 62278
Phone (618) 282-6233

1300 N Market St
Sparta, IL 62286
Phone (618) 443-4138

207 S Burns Ave
Sparta, IL 62286
Phone (618) 443-3084

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1740720143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622860378",
            "telephone_number": "618-443-1338",
            "fax_number": "618-443-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E GRANT ST",
            "city": "COULTERVILLE",
            "state": "IL",
            "postal_code": "622371623",
            "telephone_number": "618-758-2331",
            "fax_number": "618-758-2819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Regency Pl",
            "address_purpose": "LOCATION",
            "city": "Millstadt",
            "state": "IL",
            "postal_code": "622602210",
            "country_code": "US",
            "telephone_number": "618-476-3373",
            "fax_number": "618-476-1890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNDELT",
        "first_name": "ASHLEY",
        "middle_name": "N",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-03",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277002238",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmc@spartahospital.hin.us",
            "affiliation": "N",
            "address_1": "203 E Grant St",
            "city": "Coulterville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622371623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coulterville, IL

Sources for this page

Verify at the official NPI Registry.