NPIMap

Individual provider Active NPI

Ashley Maureen Daniels

  • Primary Care Nurse Practitioner
  • Clinton, NC
National Provider Identifier
1972365039
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
5019499 Issued in NC
Practice address
1515 Sunset Ave
Clinton, NC 28328-3827
Phone
(910) 491-9418
Fax
(910) 500-3171
NPI assigned
Jan 24, 2024
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 5019499 NC Primary

Addresses

Primary practice location

1515 Sunset Ave
Clinton, NC 28328-3827

Mailing address

2128 Arcola Way
Willow Spring, NC 27592-8754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240409004018 NC Practitioner - Nurse Practitioner 5496193419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Simpleclinic PLLCGroup PAC ID 2264730621, 7 clinicians

Practice addresses (Care Compare)

1515 Sunset Ave
Clinton, NC 28328-3827
Phone (910) 491-9418

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Simpleclinic PLLC Primary Care CurrentSince Feb 1, 2024 Accepting new patients
Simpleclinic PLLC Primary Care Past Accepting new patients

Locations

1515 Sunset Ave
Clinton, NC 28328
Phone (910) 491-9418

2414 Hope Mills Rd
Fayetteville, NC 28304
Phone (910) 424-2426

Interoperability endpoints

  • Direct secure messaging: adaniels122273@capefearvalley.direct-ci.com

Organizations & group practices 2

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1972365039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 ARCOLA WAY",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "275928754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 SUNSET AVE",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283283827",
            "telephone_number": "910-491-9418",
            "fax_number": "910-500-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "ASHLEY",
        "middle_name": "MAUREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5019499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NC

Sources for this page

Verify at the official NPI Registry.