Ashley M Adams
Individual provider Active NPI Nurse Practitioner · Kokomo, IN
NPI 1750857033 · NPPES record last updated Jan 2, 2024
Key facts
- NPI
- 1750857033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 71008607A (IN)
- Practice address
- 3512 S Lafountain St
Kokomo, IN 46902-3803 - Phone
- (765) 776-3100
- Fax
- (765) 453-8165
- NPI assigned
- Oct 15, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Physicians of Indiana Inc
Practice addresses (Care Compare)
3512 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 865-6633
Hospital & facility affiliations
- Community Howard Regional Health Inc.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190111001848 | IN | Practitioner - Nurse Practitioner | 8426394404 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current |
Accepting new patients | |
| Community Physicians of Indiana Inc | Current |
Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
3512 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-1254
Interoperability endpoints
- aadams203090@ecommunitydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71008607A | IN | Yes |
Addresses
Primary practice location
3512 S Lafountain St
Kokomo, IN 46902-3803
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aadams203090@eCommunityDirect.com | Community Physicians of Indiana Inc |
Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.