Individual provider Active NPI

Ashley Brooke Slaton, APRN-CNP

  • Family Nurse Practitioner
  • Mangum, OK
National Provider Identifier
1831652007
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
85979 Issued in OK
Practice address
114 S Louis Tittle Ave
Mangum, OK 73554-4406
Phone
(580) 782-3393
Fax
(580) 782-3395
NPI assigned
Apr 12, 2019
Last updated
Sep 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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 85979 OK Primary

Addresses

Primary practice location

114 S Louis Tittle Ave
Mangum, OK 73554-4406

Mailing address

114 S Louis Tittle Ave
Mangum, OK 73554-4406
Phone (580) 782-3393

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AshleySlaton@direct.jcmh.com

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
I20190619002849 OK Practitioner - Nurse Practitioner 6406180785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

205 S Park LN
Suite 210
Altus, OK 73521-5757
Phone (580) 379-6650

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85979OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Memorial Hospital Authority CurrentSince May 1, 2019 Accepting new patients
Jackson County Memorial Hospital Authority CurrentSince May 1, 2019 Accepting new patients
Summit Medical Center Past Accepting new patients
Jackson County Memorial Hosp Phcy Past Accepting new patients

Locations

1200 E Pecan St
Altus, OK 73521
Phone (580) 379-5000

205 S Park Ln
Ste 210
Altus, OK 73521
Phone (580) 379-6650

114 S Louis Tittle Ave
Mangum, OK 73554
Phone (580) 482-4781

Interoperability endpoints

  • Direct secure messaging: ashleyslaton@direct.jcmh.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1831652007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S LOUIS TITTLE AVE",
            "city": "MANGUM",
            "state": "OK",
            "postal_code": "735544406",
            "telephone_number": "580-782-3393",
            "fax_number": "580-782-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S LOUIS TITTLE AVE",
            "city": "MANGUM",
            "state": "OK",
            "postal_code": "735544406",
            "telephone_number": "580-782-3393",
            "fax_number": "580-782-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATON",
        "first_name": "ASHLEY",
        "middle_name": "BROOKE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "85979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AshleySlaton@direct.jcmh.com",
            "affiliation": "N",
            "address_1": "114 S Louis Tittle Ave",
            "city": "Mangum",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735544406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mangum, OK

Sources for this page

Verify at the official NPI Registry.