Ashli Kovalick, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R872383 Issued in MS

Practice address

2394 McCullough Blvd
Belden, MS 38826-9579

Phone

(662) 205-3023

NPI assigned

Aug 24, 2015

Last updated

Mar 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boa Vida Hospital of Aberdeen Ms LLCGroup PAC ID 0244505840, shared by 26 NPIs, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Monroe Regional Hospital Hospital, Aberdeen, MS, CCN 251302
• North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004

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.

• Boa Vida Hospital of Aberdeen, Ms, LLC

  • Critical Access Hospital
  • Aberdeen, MS
  • NPI 1285164046
  Medicare reassignment NPD
• Boa Vida Hospital of Aberdeen, Ms, LLC

  dba Monroe Regional Hospital

  • Multi-Specialty Clinic/Center
  • Aberdeen, MS
  • NPI 1710405741
  Medicare reassignment NPD
• Boa Vida Hospital of Aberdeen, Ms LLC

  dba MRH Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Aberdeen, MS
  • NPI 1134858269
  NPD
• Boa Vida Hospital of Aberdeen, Ms LLC

  dba MRH Medical Group, Premier Diabetes and Medical Clinic

  • Rural Health Clinic/Center
  • Belden, MS
  • NPI 1023609658
  NPD (past)
• Boa Vida Hospital of Aberdeen, Ms, LLC

  dba MRH Medical Group

  • Rural Health Clinic/Center
  • Aberdeen, MS
  • NPI 1245757301
  NPD (past)
• Pioneer Health Services of Monroe County, Inc

  dba Chestnut Medical Clinic

  • Rural Health Clinic/Center
  • Aberdeen, MS
  • NPI 1083658595
  NPD (past)

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

• Boa Vida Hospital of Aberdeen, Ms, LLC

  • Critical Access Hospital
  • Aberdeen, MS
  • NPI 1285164046
  Care Compare affiliation
• North Mississippi Medical Center, Inc.

  dba North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1598875460
  Care Compare affiliation

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1912374174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 MARY VANCE DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016226",
            "telephone_number": "662-377-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2394 MCCULLOUGH BLVD",
            "city": "BELDEN",
            "state": "MS",
            "postal_code": "388269579",
            "telephone_number": "662-205-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALICK",
        "first_name": "ASHLI",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R872383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08382811",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prudence Laquita Hatchett, MS
• Michelle Hill, M.S. CCC-SLP
• Cortney Thomas Hood, M.S., CCC-SLP
• Letisha S Jackson
• Journey to Healing Therapies LLC
• Kimberly Lynn Lee, DPT
• Magnolia Manor at Tupelo
• Aimee Malone, PT, DPT
• Kristin A. McDaniel, RD
• Med-Life Distributions, LLC

• Nurse Practitioner in Belden, MS
• Providers in Belden, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.