Ashley E Wagner, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP014206 Issued in PA

Practice address

1850 E Park Ave
Ste 302
State College, PA 16803-6706

Phone

(814) 278-4680

Fax

(814) 235-1523

NPI assigned

Jul 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ashley E. Hale Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Pennsylvania Physician Alliance, LLCGroup PAC ID 8325478662, 112 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.2 of 100Reported as group

Quality

78.42

Improvement activities

40

Cost

70.24

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Eastern Pennsylvania Physician Alliance LLC

  • Neurology Physician
  • Clarion, PA
  • NPI 1902440621
  Medicare reassignment Care Compare group
• Aguavivir SC PC

  • Multi-Specialty Clinic/Center
  • State College, PA
  • NPI 1659017986
  Medicare reassignment NPD
• University Ambulance Service

  • Land Ambulance
  • University Park, PA
  • NPI 1255457057
  NPD (past)

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1962844985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 E PARK AVE",
            "address_2": "STE 302",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036706",
            "telephone_number": "814-278-4680",
            "fax_number": "814-235-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 E PARK AVE",
            "address_2": "STE 302",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036706",
            "telephone_number": "814-278-4680",
            "fax_number": "814-235-1523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 West Whitehall Road",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168014537",
            "country_code": "US",
            "telephone_number": "973-661-8300",
            "fax_number": "973-661-8333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1930 Cliffside Drive",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168017662",
            "country_code": "US",
            "telephone_number": "973-661-8300",
            "fax_number": "973-661-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ASHLEY",
        "middle_name": "E",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014206",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN579355",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "HALE",
            "middle_name": "E.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vital Rehab and Wellness
• John Vincent Voigt
• Natasha R. Volkers, M.S.
• Wilbur Lewis Wadlington, PH.D.
• Allison Wagner
• Matthew F. Wagner, LPC
• Wagoner Chiropractic Inc
• Jay Frederick Wagoner, D.C.
• Kayla Ellen Wagoner, D.C.
• Caryl L. Waite, PA-C

• Family Nurse Practitioner in State College, PA
• Providers in State College, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.