Individual provider Active NPI

Ashley Craver Quarless, NP

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1932200029
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
900358 Issued in NC
Practice address
2085 Frontis Plaza Blvd
Winston Salem, NC 27103-5614
Phone
(336) 481-8655
Fax
(336) 277-9165
NPI assigned
Sep 25, 2006
Last updated
Nov 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 900358 NC Primary

Addresses

Primary practice location

2085 Frontis Plaza Blvd
Winston Salem, NC 27103-5614

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

1236 Guilford College Rd Ste 117
Jamestown, NC 27282-9875
Phone (336) 856-0801

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aquarless516321@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040224000534 NC Practitioner - Nurse Practitioner 7719873165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

1236 Guilford College Rd
Suite 117
Jamestown, NC 27282-9875
Phone (336) 856-0801

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
900358NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 12, 2018 Accepting new patients
Novant Medical Group, Inc. CurrentSince Dec 12, 2018 Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

1236 Guilford College Rd
Ste 117
Jamestown, NC 27282
Phone (336) 856-0801

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: aquarless516321@direct.novanthealth.org

Organizations & group practices 3

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 6

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1932200029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 FRONTIS PLAZA BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035614",
            "telephone_number": "336-481-8655",
            "fax_number": "336-277-9165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1236 Guilford College Rd Ste 117",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "NC",
            "postal_code": "272829875",
            "country_code": "US",
            "telephone_number": "336-856-0801",
            "fax_number": "336-856-2804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUARLESS",
        "first_name": "ASHLEY",
        "middle_name": "CRAVER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "900358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aquarless516321@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1236 Guilford College Rd Ste 117",
            "city": "Jamestown",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272829875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.