Individual provider Active NPI

Ashley Packard, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Green Valley, AZ
National Provider Identifier
1962394734
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RNP329245 Issued in AZ
Practice address
1055 N la Canada Dr
Green Valley, AZ 85614-3700
Phone
(520) 526-2663
NPI assigned
Jul 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RNP329245 AZ Primary

Addresses

Primary practice location

1055 N la Canada Dr
Green Valley, AZ 85614-3700

Mailing address

1055 N la Canada Dr
Green Valley, AZ 85614-3700
Phone (520) 526-2663

Other names 1

  • Ashley Scruton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20251118003887 AZ Practitioner - Nurse Practitioner 9335630276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pusch Ridge Behavioral Health LLCGroup PAC ID 7416310438, 9 clinicians

Practice addresses (Care Compare)

1055 N la Canada Dr
Suite 109
Green Valley, AZ 85614-3700
Phone (520) 526-2663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RNP329245AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pusch Ridge Behavioral Health LLC Psychiatric/Mental Health CurrentSince Oct 15, 2025 Accepting new patients

Locations

1055 N La Canada Dr
Ste 109
Green Valley, AZ 85614
Phone (520) 399-2700

6700 N Oracle Rd
Ste 505
Tucson, AZ 85704
Phone (520) 330-2334

7384 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 441-9914

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1962394734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N LA CANADA DR",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856143700",
            "telephone_number": "520-526-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N LA CANADA DR",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856143700",
            "telephone_number": "520-526-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKARD",
        "first_name": "ASHLEY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RNP329245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "SCRUTON",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Valley, AZ

Sources for this page

Verify at the official NPI Registry.