Individual provider Active NPI

Amy Marie Ashley, APRN-CNP

  • Family Nurse Practitioner
  • Wewoka, OK
National Provider Identifier
1811327612
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
89487 Issued in OK
Practice address
1401 W 1St St
Wewoka, OK 74884-5097
Phone
(405) 257-3396
Fax
(405) 257-6908
NPI assigned
Nov 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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 89487 OK Primary

Addresses

Primary practice location

1401 W 1St St
Wewoka, OK 74884-5097

Mailing address

PO Box 1093
Wewoka, OK 74884-1093
Phone (405) 257-3396

Other identifiers 1

IdentifierTypeStateIssuer
200521460AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20140710001060 OK Practitioner - Nurse Practitioner 3375768104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holdenville Hospital AuthorityGroup PAC ID 6002031424, 10 clinicians

Practice addresses (Care Compare)

100 McDougal Dr
Holdenville, OK 74848-2822
Phone (405) 379-4201

Hospital & facility affiliations

  • Holdenville General Hospital Hospital, Holdenville, OK, CCN 371321
  • SSM Health St Anthony Hospital - Shawnee Hospital, Shawnee, OK, CCN 370149
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Holdenville Hospital Authority Current Accepting new patients
Holdenville Hospital Authority CurrentSince Jul 1, 2014 Accepting new patients
Holdenville Hospital Authority Current Accepting new patients
Summit Medical Center Past Accepting new patients
Holdenville Hospital Authority Past Accepting new patients

Locations

100 McDougal Dr
Holdenville, OK 74848
Phone (405) 379-4200

1401 W 1st St
Wewoka, OK 74884
Phone (405) 257-3396

Organizations & group practices 5

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": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1811327612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1093",
            "city": "WEWOKA",
            "state": "OK",
            "postal_code": "748841093",
            "telephone_number": "405-257-3396",
            "fax_number": "405-257-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W 1ST ST",
            "city": "WEWOKA",
            "state": "OK",
            "postal_code": "748845097",
            "telephone_number": "405-257-3396",
            "fax_number": "405-257-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHLEY",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "89487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200521460A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wewoka, OK

Sources for this page

Verify at the official NPI Registry.