Ashley Blough
Individual provider Active NPI Family Nurse Practitioner · Morris, IL
NPI 1770011397 · NPPES record last updated Apr 28, 2020
Key facts
- NPI
- 1770011397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209015876 (IL)
- Practice address
- 150 W High St
Morris, IL 60450 - Phone
- (815) 942-2932
- Fax
- (815) 416-6097
- NPI assigned
- May 25, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Morris Hospital
Practice addresses (Care Compare)
150 W High St
Morris, IL 60450-1463
Phone (815) 942-2932
Hospital & facility affiliations
- Resilience Home Health, LLC
- Morris Hospital & Healthcare Centers
- Osf Saint Elizabeth MDL Ctr
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20170814001864 | IL | Practitioner - Nurse Practitioner | 7618249418 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morris Hospital | Current | Accepting new patients | |
| Morris Hospital | Current |
Accepting new patients | |
| Morris Hospital | Current |
Accepting new patients | |
| Morris Hospital | Current | Accepting new patients |
Locations
389 E Main St
Braidwood, IL 60408
Phone (815) 458-2532
580 Sycamore St
Marseilles, IL 61341
Phone (815) 795-2122
150 W High St
Morris, IL 60450
Phone (815) 942-2129
725 School St
Ste A
Morris, IL 60450
1306 Gemini Cir
Ste 1
Ottawa, IL 61350
Phone (815) 433-9200
Interoperability endpoints
- ashley.blough.1@14307.direct.athenahealth.com
- ashley.blough@direct-address.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209015876 | IL | Yes |
Addresses
Primary practice location
150 W High St
Morris, IL 60450
Mailing address
725 School St Ste a
Morris, IL 60450-1207
Phone (815) 941-9124
Other practice location 1
21354 Willow Pass
Shorewood, IL 60404-8237
Phone (815) 592-5431
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209015876 | Other | IL | IL LICENSE |
Other names
- Ashley Schultz
Other providers in Morris, IL
- Vincent Rafer Benig
- Katrina K Berres
- Margaret B Bialas
- Blanco Kays Corgiat Eyecare, LLC
- Jeffrey J Blanco
- Karen A Boertlein
- Amber Boeschel
- John Bolden Jr.
- Bradley R. Lawton, M.D., P.C.
- Brenene Marie Brady
All providers in Morris, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2020. 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.