Individual provider Active NPI

Ashley Evonne Lively

  • Certified Registered Nurse Anesthetist
  • Parkersburg, WV
National Provider Identifier
1841931797
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
113971 Issued in WV
Practice address
3211 Dudley Ave
Parkersburg, WV 26104-1813
Phone
(304) 422-3904
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 113971 WV Primary

Addresses

Primary practice location

3211 Dudley Ave
Parkersburg, WV 26104-1813

Mailing address

601 Avery St Ste 501
Parkersburg, WV 26101-5192

Other practice location 1

100 Angus E Peyton Dr
South Charleston, WV 25303-1600
Phone (304) 746-2500

Other practice location 2

608 Washington Blvd
Belpre, OH 45714-2465
Phone (740) 423-4684

Other practice location 3

800 Garfield Ave
Parkersburg, WV 26101-5376
Phone (304) 424-2590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220920000115 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103201660 Reassigns benefits to 2 organizations
I20250304001983 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103201660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

608 Washington Blvd
Belpre, OH 45714-2465
Phone (681) 342-3455

800 Garfield Ave
Parkersburg, WV 26101-5376
Phone (304) 424-2111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
United Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
Camden-Clark Physician Corporation CurrentSince Jan 29, 2025 Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

608 Washington Blvd
Belpre, OH 45714
Phone (304) 422-3904

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

3211 Dudley Ave
Parkersburg, WV 26104
Phone (304) 422-3904

601 Avery St
Ste 501
Parkersburg, WV 26101
Phone (304) 422-3904

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

Interoperability endpoints

  • Direct secure messaging: alively346240@direct.wvuhsdirect.com

Organizations & group practices 3

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 2

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1841931797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 AVERY ST STE 501",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 DUDLEY AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041813",
            "telephone_number": "304-422-3904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Angus E Peyton Dr",
            "address_purpose": "LOCATION",
            "city": "South Charleston",
            "state": "WV",
            "postal_code": "253031600",
            "country_code": "US",
            "telephone_number": "304-746-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "608 Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457142465",
            "country_code": "US",
            "telephone_number": "740-423-4684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Garfield Ave",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261015376",
            "country_code": "US",
            "telephone_number": "304-424-2590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVELY",
        "first_name": "ASHLEY",
        "middle_name": "EVONNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "113971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.

Verify at the official NPI Registry.