Ashley Ebersole Mellert, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1994 Issued in WV

Practice address

500 Poplar St Ste 204
South Charleston, WV 25309-1472

Phone

(304) 414-2895

Fax

(304) 414-2898

NPI assigned

Jul 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Ashley Nicole Ebersole Former name

Electronic endpoints 5

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029

Merit-based Incentive Payment System (MIPS)

Final score

95.34 of 100Reported as apm

Quality

79.86

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: ashley.mellert@thomashealthsystem.direct-ci.com

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.

• THS Physician Partners Inc

  • Internal Medicine Physician
  • South Charleston, WV
  • NPI 1871866806
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Herbert J. Thomas Memorial Hospital Association

  • General Acute Care Hospital
  • South Charleston, WV
  • NPI 1316925506
  Care Compare affiliation

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1750734661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 MACCORKLE AVE SW",
            "address_2": "THS PHYSICIAN PARTNERS, INC. ADMINISTRATIVE OFC.",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091311",
            "telephone_number": "304-414-4800",
            "fax_number": "304-414-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 POPLAR ST STE 204",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091472",
            "telephone_number": "304-414-2895",
            "fax_number": "304-414-2898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Division St",
            "address_2": "Suite 6",
            "address_purpose": "LOCATION",
            "city": "South Charleston",
            "state": "WV",
            "postal_code": "253091459",
            "country_code": "US",
            "telephone_number": "304-414-4863",
            "fax_number": "304-414-4864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6A Bank St",
            "address_purpose": "LOCATION",
            "city": "Nitro",
            "state": "WV",
            "postal_code": "251431708",
            "country_code": "US",
            "telephone_number": "304-306-3058",
            "fax_number": "304-306-3059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Laidley St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011614",
            "country_code": "US",
            "telephone_number": "304-347-6773",
            "fax_number": "304-347-6848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4605 MacCorkle Ave SW",
            "address_2": "THS Physician Partners, Inc. Administrative Ofc.",
            "address_purpose": "LOCATION",
            "city": "South Charleston",
            "state": "WV",
            "postal_code": "253091311",
            "country_code": "US",
            "telephone_number": "304-414-4800",
            "fax_number": "304-414-4801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELLERT",
        "first_name": "ASHLEY",
        "middle_name": "EBERSOLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "1994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.mellert@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "400 Division St",
            "address_2": "Suite 6",
            "city": "South Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253091459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.mellert@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "6A Bank St",
            "city": "Nitro",
            "state": "WV",
            "country_code": "US",
            "postal_code": "251431708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.mellert@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "333 Laidley St",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253011614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.mellert@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "500 Poplar St Ste 204",
            "city": "South Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253091472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.mellert@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "4605 MacCorkle Ave SW",
            "address_2": "THS Physician Partners, Inc. Administrative Ofc.",
            "city": "South Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253091311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "EBERSOLE",
            "middle_name": "NICOLE",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physician Assistant in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.