Active NPI
Ashley N Fertig, CRNA
- Certified Registered Nurse Anesthetist
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 68362
- Practice address
- 101 Stadium Dr
Morgantown, WV 26506-7911 - Phone
- (304) 598-4000
- NPI assigned
- Jun 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 68362 | WV | Primary |
Addresses
Primary practice location
101 Stadium Dr
Morgantown, WV 26506-7911
Mailing address
PO Box 780
Morgantown, WV 26507-0780
Phone (304) 293-7401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7100
Hospital & facility affiliations
- Tidelands Waccamaw Community Hospital
- Tidelands Georgetown Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68362 | WV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Tidelands Anesthesia Group LLC | Current | Accepting new patients |
Locations
606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000
4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100
2200 Crow Ln
Ste 102
Myrtle Beach, SC 29577
Phone (843) 520-8217
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
3100 Maccorkle Ave SE
Ste 203
Charleston, WV 25304
Phone (304) 345-8820
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Georgetown, SC
- NPI 1144017781
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, SC
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Georgetown, SC
- NPI 1982604021
-
- General Acute Care Hospital
- Murrells Inlet, SC
- NPI 1972503910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1811283971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 780",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265070780",
"telephone_number": "304-293-7401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 STADIUM DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265067911",
"telephone_number": "304-598-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERTIG",
"first_name": "ASHLEY",
"middle_name": "N",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-27",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "68362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.