Individual provider Active NPI

Ashley Katrice Elledge, FNP-BC

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1790283422
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23772 Issued in TN
Practice address
2358 Lifestyle Way Ste 100
Chattanooga, TN 37421-4907
Phone
(423) 602-2750
NPI assigned
Jan 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23772 TN Primary

Addresses

Primary practice location

2358 Lifestyle Way Ste 100
Chattanooga, TN 37421-4907

Mailing address

2358 Lifestyle Way Ste 100
Chattanooga, TN 37421-4907
Phone (423) 602-2750

Other practice location 1

980 Highway 28 Ste 102
Jasper, TN 37347-3696
Phone (423) 602-2750

Other practice location 2

4312 Holiday Inn Express Way NW Unit 105
Cleveland, TN 37312-1469
Phone (423) 602-2750

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elledge@direct.vic.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180510002079 TN Practitioner - Nurse Practitioner 1759645112 Reassigns benefits to 1 organization
I20240322001079 GA Practitioner - Nurse Practitioner 1759645112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Institute of Chattanooga, PLLCGroup PAC ID 1658671052, 19 clinicians

Practice addresses (Care Compare)

2358 Lifestyle Way
Suite 100
Chattanooga, TN 37421-4907
Phone (423) 602-2750

4622 Battlefield Pkwy
Ringgold, GA 30736-8004
Phone (423) 602-2750

Hospital & facility affiliations

  • Parkridge Medical Center Hospital, Chattanooga, TN, CCN 440156
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

Merit-based Incentive Payment System (MIPS)

Final score
88.4 of 100Reported as group
Quality
88.04
Improvement activities
40
Cost
67.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23772TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Institute of Chattanooga, PLLC CurrentSince May 6, 2019 Accepting new patients

Locations

4622 Battlefield Pkwy
Ringgold, GA 30736

2358 Lifestyle Way
Ste 100
Chattanooga, TN 37421
Phone 4236022750104

2158 Northgate Park Ln
Ste 102
Chattanooga, TN 37415
Phone (423) 664-3366

4312 Holiday Inn Express Way NW
Ste 105
Cleveland, TN 37312

7693 Rhea County Hwy
Ste 9
Dayton, TN 37321
Phone (423) 602-2767

980 Highway 28
Ste 101A
Jasper, TN 37347

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1790283422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 LIFESTYLE WAY STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214907",
            "telephone_number": "423-602-2750",
            "fax_number": "423-602-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2358 LIFESTYLE WAY STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214907",
            "telephone_number": "423-602-2750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "980 Highway 28 Ste 102",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "TN",
            "postal_code": "373473696",
            "country_code": "US",
            "telephone_number": "423-602-2750",
            "fax_number": "423-602-2762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4312 Holiday Inn Express Way NW Unit 105",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373121469",
            "country_code": "US",
            "telephone_number": "423-602-2750",
            "fax_number": "423-602-2762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLEDGE",
        "first_name": "ASHLEY",
        "middle_name": "KATRICE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elledge@direct.vic.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2358 Lifestyle Way Ste 100",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374214907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.