Individual provider Active NPI

Ashton Jeanette Glenn, ARPN- CNP

  • Family Nurse Practitioner
  • Mountain View, AR
National Provider Identifier
1861904377
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005392 Issued in AR
Practice address
316 East Main Street
Mountain View, AR 72560
Phone
(870) 269-8700
Fax
(888) 807-4056
NPI assigned
Oct 25, 2017
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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 A005392 AR Primary

Addresses

Primary practice location

316 East Main Street
Mountain View, AR 72560

Mailing address

11771 Herpel Rd
Mountain View, AR 72560-6057
Phone (870) 214-0587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20171228001381 AR Practitioner - Nurse Practitioner 9638437437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Taylor Made Clinic, PLLCGroup PAC ID 6103212634, 2 clinicians

Practice addresses (Care Compare)

316 E Main St
Mountain View, AR 72560-3328
Phone (870) 269-8700

316 E Main St
Mountain View, AR 72560-6503
Phone (870) 269-2995

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005392ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Made Clinic, PLLC CurrentSince Aug 5, 2024 Accepting new patients
Boston Mountain Rural Health Center Inc. CurrentSince Nov 10, 2025 Accepting new patients
Boston Mountain Rural Health Center, Inc CurrentSince Nov 10, 2025 Accepting new patients
Boston Mountain Rural Health Center, Inc Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Boston Mountain Rural Health Center Inc Past Accepting new patients

Locations

326 Southside Rd
Bee Branch, AR 72013
Phone (501) 654-2006

1008 W Trimble Ave
Berryville, AR 72616
Phone (870) 423-3355

1094 Catholic Point Rd
Center Ridge, AR 72027
Phone (501) 893-6197

465 Medical Center Pkwy
Clinton, AR 72031
Phone (501) 745-7888

1125 Skyline Dr
Conway, AR 72032
Phone (501) 358-6120

4004 E Van Buren
Eureka Springs, AR 72632
Phone (479) 363-6196

1103 W Main St
Green Forest, AR 72638
Phone (870) 438-6500

1002 N Spring St
Harrison, AR 72601
Phone (870) 741-6373

403 Polk St
Huntsville, AR 72740
Phone (479) 738-1583

934 N Gaskill St
Huntsville, AR 72740
Phone (479) 738-5500

106 Westwood Dr
Marshall, AR 72650
Phone (870) 448-3455

2263 Highway 65 N
Marshall, AR 72650
Phone (870) 741-6065

444 Hospital Dr
Mountain Home, AR 72653
Phone (870) 425-7788

316 E Main St
Mountain View, AR 72560
Phone (870) 269-2995

130 4th St
Quitman, AR 72131
Phone (888) 602-3647

Organizations & group practices 7

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 1

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": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1861904377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11771 HERPEL RD",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725606057",
            "telephone_number": "870-214-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 EAST MAIN STREET",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "72560",
            "telephone_number": "870-269-8700",
            "fax_number": "888-807-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "ASHTON",
        "middle_name": "JEANETTE",
        "credential": "ARPN- CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, AR

Sources for this page

Verify at the official NPI Registry.