Ashley Bravo, NP
Individual provider Active NPI Family Nurse Practitioner · Globe, AZ
NPI 1922792191 · NPPES record last updated Jun 8, 2023
Key facts
- NPI
- 1922792191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 292952 (AZ)
- Practice address
- 108 S Broad St
Globe, AZ 85501-2602 - Phone
- (928) 425-6592
- Fax
- (928) 436-8735
- NPI assigned
- Jun 8, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Zion Medical Group PLLC
Corner Health Medical Group P a
Practice addresses (Care Compare)
1100 E Monroe St
Globe, AZ 85501-1363
Phone (928) 425-5721
1100 N Broad St
Suite D
Globe, AZ 85501-2700
Phone (425) 243-3719
Hospital & facility affiliations
- Cobre Valley Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230927001189 | AZ | Practitioner - Nurse Practitioner | 3173977014 | Reassigns benefits to 3 organizations |
| I20240208001013 | TX | Practitioner - Nurse Practitioner | 3173977014 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corner Health Medical Group P a | Family | Current |
Accepting new patients |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| Zion Medical Group PLLC | Current |
Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current |
Accepting new patients | |
| Medcom Medical, LLC | Current |
Accepting new patients | |
| Northwest Rheumatology PLLC | Past |
Accepting new patients |
Locations
13 N San Francisco St
Ste 6
Flagstaff, AZ 86001
Phone (928) 405-0173
1100 E Monroe St
Globe, AZ 85501
Phone (480) 815-7074
1100 N Broad St
Ste D
Globe, AZ 85501
Phone (602) 989-0725
108 S Broad St
Globe, AZ 85501
Phone (928) 425-6592
3048 E Baseline Rd
Ste 122
Mesa, AZ 85204
Phone (480) 497-5933
1641 S Stapley Dr
Ste 107
Mesa, AZ 85204
Phone (480) 660-8612
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001
2 N Central Ave
Ste 1800
Phoenix, AZ 85004
Phone (425) 243-3719
312 Arizona Ave
Ste 314
Santa Monica, CA 90401
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 292952 | AZ | Yes |
Addresses
Primary practice location
108 S Broad St
Globe, AZ 85501-2602
Mailing address
108 S Broad St
Globe, AZ 85501-2602
Phone (928) 425-6592
Other providers in Globe, AZ
- Gretchen Boise
- Bonneville Med PC
- Cyrus C Bowers
- Karrol Braddock
- Ryan Bradley
- Todd Ray Brewster
- Mars Brimhall
- Robin Broz
- Anthony Giacomo Brusca
- Stephanie Buerk
All providers in Globe, AZ · Family Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.