Ashley Nichole Hanback, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-151036 Issued in AL

Practice address

600 Sun Temple Dr
Madison, AL 35758-8643

Phone

(256) 288-3333

NPI assigned

Oct 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, TN, MS3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Russellville Hospital Inc.Group PAC ID 3476878489, shared by 6 NPIs, 66 clinicians

Integrated Behavioral Health IncGroup PAC ID 7416194113, 109 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

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 and National Provider Directory roles.

• Integrated Behavioral Health, Inc.

  • Psychiatry Physician
  • Madison, AL
  • NPI 1730522699

  Family, MS, TN

  Medicare reassignment Care Compare group NPD
• Russellville Hospital Inc

  • Family Medicine Physician
  • Russellville, AL
  • NPI 1780232314
  Medicare reassignment NPD
• Russellville Hospital Inc

  • Rural Health Clinic/Center
  • Russellville, AL
  • NPI 1508491093
  NPD
• Iop Behavioral Health, LLC

  • Adult Mental Health Clinic/Center
  • Madison, AL
  • NPI 1164202420
  NPD (past)

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1962001636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 BULL RUN",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356457949",
            "telephone_number": "256-443-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588643",
            "telephone_number": "256-288-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANBACK",
        "first_name": "ASHLEY",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-151036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maximillian Alexander Hamke, MA, LPC
• Chloe Allyn Hammick, ALC
• Jasmine L Hammonds, CBS, CBE, CFD, LD
• Dana Hampson, LPC
• Mitchell C. Hamric, PT, MS
• Hanging Lanes Christian Wellness Ministries and Counseling Center
• Chelsea Smith Hankins, RN,MSN
• Leigh Anne Hansard, PHARM D
• Jill Suzanne Harbin, DC
• Tia Marie Harden, LPC

• Family Nurse Practitioner in Madison, AL
• Providers in Madison, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.