Ashley Cannon Mann, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-122663 Issued in AL

Practice address

4145 Carmichael Road
Montgomery, AL 36106

Phone

(334) 273-7000

Fax

(334) 273-2228

NPI assigned

Jun 8, 2017

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

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in AL

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Care Authority for Baptist Health, an Affiliate of UabhsGroup PAC ID 8426076670, 270 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
• Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149
• Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108

Merit-based Incentive Payment System (MIPS)

Final score

83 of 100Reported as group

Quality

64.43

Promoting interoperability

100

Improvement activities

40

Cost

78.9

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.

• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1982653390
  Medicare reassignment Care Compare group NPD
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  • Cardiovascular Disease Physician
  • Montgomery, AL
  • NPI 1427822279
  NPD
• The Health Care Authority for Baptist Health

  • Hematology & Oncology Physician
  • Montgomery, AL
  • NPI 1972749398
  NPD
• The Health Care Authority for Baptist Health an Affiliate of Uabhs

  • General Acute Care Hospital
  • Prattville, AL
  • NPI 1942391230
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Health Care Authority for Baptist Health an Affiliate of Uabhs

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1104917780
  Care Compare affiliation
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1700977105
  Care Compare affiliation
• The Health Care Authority for Baptist Health an Affiliate of Uabhs

  • General Acute Care Hospital
  • Prattville, AL
  • NPI 1942391230
  Care Compare affiliation

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1962931410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 CARMICHAEL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062803",
            "telephone_number": "334-273-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 CARMICHAEL ROAD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36106",
            "telephone_number": "334-273-7000",
            "fax_number": "334-273-2228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 McQueen Smith Rd N Ste 207",
            "address_purpose": "LOCATION",
            "city": "Prattville",
            "state": "AL",
            "postal_code": "360667263",
            "country_code": "US",
            "telephone_number": "334-351-1000",
            "fax_number": "334-273-2228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "ASHLEY",
        "middle_name": "CANNON",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-122663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "510G700564",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4766889",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA",
            "identifier": "Z98667",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "511-94956",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "511-94957",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203893",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Doreen Maloney, MD
• Stephan Idris Mambazo, MSW, LICSW-PIP, CGRS
• Maryanna Elizabeth Manderville, LPC
• Joseph Anthony Mangini, M.D.
• Robbie Mangum, M.S.,NCC,LPC
• Clint D Mann, DPT
• Kelly Mann, CRNP
• Susan Harrell Mann, RDN, LD, CDE
• Derrick C Manora, LPC
• Eduardo Mantovani Cardoso, MD

• Family Nurse Practitioner in Montgomery, AL
• Providers in Montgomery, 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 Jul 14, 2023; 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.