Ashley Nicole Adams, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP012494 Issued in PA

Practice address

1710 E Broad St
Hazleton, PA 18201-5695

Phone

(570) 459-6778

Fax

(570) 453-5202

NPI assigned

May 16, 2014

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Department of Military Affairs Commonwealth of PennsylvaniaGroup PAC ID 1557320348, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• PA Department of Military and Veterans Affairs

  dba Delaware Valley Veterans Home

  • Nursing Facility/Intermediate Care Facility
  • Philadelphia, PA
  • NPI 1578672796
  Medicare reassignment Care Compare group NPD
• Department of Military Affairs Commonwealth of Pennsylvania

  dba Gino Merli Veterans' Center Pharmacy

  • Long Term Care Pharmacy
  • Scranton, PA
  • NPI 1104181189
  NPD
• Department of Military Commonwealth of Pennsylvania

  dba Gino J. Merli Veterans Center

  • Skilled Nursing Facility
  • Scranton, PA
  • NPI 1497734925
  NPD

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851702468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 GRASSY ISLAND AVE",
            "city": "JESSUP",
            "state": "PA",
            "postal_code": "184341808",
            "telephone_number": "570-899-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015695",
            "telephone_number": "570-459-6778",
            "fax_number": "570-453-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP012494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1000 Stacie Drive Opco LLC (The Pavilion at St. Luke Village)
• 1711 East Broad Street Opco LLC (The Manor at St. Luke Village)
• A Better Today, Inc.
• A Woman's Place OBGYN Associates PC
• Aaron North Inc
• Scott Joseph Adams, CRNP
• Albert W. Adomitis Jr., CRNA
• Advanced Inpatient Medicine
• Advanced Physical Therapy
• Ajit M Chikarmane MD PC

• Nurse Practitioner in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.