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Individual provider Active NPI

Ashley Nicole Johnston, APRN

  • Family Nurse Practitioner
  • Beaver, OK
National Provider Identifier
1912635558
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209854 Issued in OK
Practice address
718 Avenue a
Beaver, OK 73932-3101
Phone
(580) 625-3477
Fax
(580) 625-3562
NPI assigned
Aug 11, 2022
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209854 OK Primary
Registered Nurse 163W00000X R0081314 OK

Addresses

Primary practice location

718 Avenue a
Beaver, OK 73932-3101

Mailing address

PO Box 675
Beaver, OK 73932-0675
Phone (580) 528-1096

Other practice location 1

2215 U.S. 64
Guymon, OK 73942
Phone (580) 754-2280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220827000174 OK Practitioner - Nurse Practitioner 4183008964 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cah Acquisition Company 9 LLCGroup PAC ID 0941354823, 15 clinicians

Practice addresses (Care Compare)

718 Ave a
Beaver, OK 73932-3101
Phone (580) 625-3477

809 NE Hwy 60
Seiling, OK 73663

PO Box
Suite 1043
Seiling, OK 73663

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0081314OKMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver County Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Aug 15, 2022 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Aug 15, 2022 Accepting new patients
Beaver County Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Beaver County Memorial Hospital Past Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients

Locations

212 E 8th St
Beaver, OK 73932
Phone (580) 625-3646

718 Avenue A
Beaver, OK 73932
Phone (580) 625-3477

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

2215 N Highway 64
Guymon, OK 73942
Phone (580) 754-2280

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

1327 Oklahoma Ave
Woodward, OK 73801
Phone (580) 254-2377

Interoperability endpoints

  • Direct secure messaging: ajohnston519228@direct-ehr-ssmhc.com

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 4

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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1912635558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 675",
            "city": "BEAVER",
            "state": "OK",
            "postal_code": "739320675",
            "telephone_number": "580-528-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 AVENUE A",
            "city": "BEAVER",
            "state": "OK",
            "postal_code": "739323101",
            "telephone_number": "580-625-3477",
            "fax_number": "580-625-3562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2215 U.S. 64",
            "address_purpose": "LOCATION",
            "city": "Guymon",
            "state": "OK",
            "postal_code": "73942",
            "country_code": "US",
            "telephone_number": "580-754-2280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "209854",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0081314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, OK

Sources for this page

Verify at the official NPI Registry.