NPIMap

Individual provider Active NPI

Ashley Lynn Richeson, M.D.

  • Internal Medicine Physician
  • Newburgh, IN
National Provider Identifier
1962841684
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01080828A Issued in IN
Practice address
4015 Gateway Blvd
Newburgh, IN 47630
Phone
(812) 858-6244
Fax
(812) 858-6240
NPI assigned
Jun 15, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125062884 IL
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 01080828A IN
Pediatrics Physician 208000000X 01080828A IN
Pediatrics Physician 208000000X 125062884 IL
Internal Medicine Physician 207R00000X 01080828A IN Primary

Addresses

Primary practice location

4015 Gateway Blvd
Newburgh, IN 47630

Mailing address

1310 24TH Ave S # 11G
Nashville, TN 37212-2637
Phone (615) 873-8170

Other practice location 1

1310 24th Ave S # 11G
Nashville, TN 37212-2637
Phone (615) 873-8170

Other names 1

  • Ashley Lynn Thomas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20180803000961 IN Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Pediatric Medicine 3375843238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care, Pediatric Medicine
Education
Indiana University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

520 Mary St
Suite 340
Evansville, IN 47710-1679
Phone (812) 450-6700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125062884ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic, Inc Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
Deaconess Clinic Inc Pediatrics CurrentSince Aug 1, 2018 Accepting new patients
Deaconess Clinic Inc. Internal Medicine Current Accepting new patients
Deaconess Clinic, Inc Hospice and Palliative Medicine Past Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

520 Mary St
Ste 340
Evansville, IN 47710
Phone (812) 450-3201

4015 Gateway Blvd
Newburgh, IN 47630
Phone (812) 858-6244

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

Interoperability endpoints

  • Direct secure messaging: aricheson202141@direct.deaconess.com

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Deaconess Clinic Oakland CityOakland City, IN, CCN 153936 Rural health clinic Corporate Director Oct 1, 2020
Deaconess Clinic Sherman DrivePrinceton, IN, CCN 153934 Rural health clinic Corporate Director Oct 1, 2020
Deaconess Clinic Ft. BranchFort Branch, IN, CCN 153933 Rural health clinic Corporate Director Oct 1, 2020
Deaconess Clinic Vail StreetPrinceton, IN, CCN 153935 Rural health clinic Corporate Director Oct 1, 2020
Deaconess Clinic SebreeSebree, KY, CCN B03929 Rural health clinic Corporate Director Oct 1, 2020
Deaconess Clinic Dixon RHCDixon, KY, CCN B03930 Rural health clinic Corporate Director Oct 1, 2020
Deaconess Clinic MorganfieldMorganfield, KY, CCN 183968 Rural health clinic Corporate Director Oct 1, 2020

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 3

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": "1371254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962841684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 24TH AVE S # 11G",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122637",
            "telephone_number": "615-873-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 GATEWAY BLVD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "47630",
            "telephone_number": "812-858-6244",
            "fax_number": "812-858-6240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 24th Ave S # 11G",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372122637",
            "country_code": "US",
            "telephone_number": "615-873-8170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHESON",
        "first_name": "ASHLEY",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125062884",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "IN",
            "license": "01080828A",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01080828A",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125062884",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01080828A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "THOMAS",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.