Active NPI
Ashley Nelson, DC, FNP
- Chiropractor
- Crown Point, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002815A
- Practice address
- 11420 Broadway
Crown Point, IN 46307-7106 - Phone
- (641) 891-7384
- NPI assigned
- Feb 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002815A | IN | Primary |
| Nurse Practitioner | 363L00000X | 71014512A | IN |
Addresses
Primary practice location
11420 Broadway
Crown Point, IN 46307-7106
Mailing address
11420 Broadway
Crown Point, IN 46307-7106
Phone (641) 891-7384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150318000477 | IN | Practitioner - Chiropractic | 7113244856 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11420 Broadway
Crown Point, IN 46307-7106
Phone (219) 661-8680
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71014512A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Chiropractic Family Sports Rehab Inc | Chiropractor | Current | Accepting new patients |
| Peak Integrative Health LLC | Chiropractor | Current | Accepting new patients |
| Spine Hyder PC | Current | Accepting new patients | |
| Optimal Integrative Healthcare LLC | Chiropractor | Current | Accepting new patients |
Locations
11055 Broadway
Ste A
Crown Point, IN 46307
Phone (219) 797-7463
11400 Broadway
Crown Point, IN 46307
Phone (219) 661-8680
11420 Broadway
Crown Point, IN 46307
Phone (219) 661-8680
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 and National Provider Directory roles.
-
- Chiropractor
- Crown Point, IN
- NPI 1508248642
-
- Orthopaedic Surgery of the Spine Physician
- Crown Point, IN
- NPI 1538717483
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697846400000",
"number": "1871985010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11420 BROADWAY",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077106",
"telephone_number": "641-891-7384",
"fax_number": "219-661-8280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11420 BROADWAY",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077106",
"telephone_number": "641-891-7384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ASHLEY",
"credential": "DC, FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-25",
"last_updated": "2023-10-21",
"certification_date": "2023-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002815A",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71014512A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2023; 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.