Individual provider Active NPI

Ashley A. Wittler, NP

  • Women's Health Nurse Practitioner
  • Shiloh, IL
National Provider Identifier
1982045514
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
209010684 Issued in IL
Practice address
1170 Fortune Blvd
Shiloh, IL 62269-7358
Phone
(618) 997-5266
Fax
(883) 431-2272
NPI assigned
Jul 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 209010684 IL
Women's Health Nurse Practitioner 363LW0102X 209010684 IL Primary

Addresses

Primary practice location

1170 Fortune Blvd
Shiloh, IL 62269-7358

Mailing address

1170 Fortune Blvd
Shiloh, IL 62269-7358
Phone (618) 997-5266

Other identifiers 1

IdentifierTypeStateIssuer
209010684OtherILIDFPR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130916000523 IL Practitioner - Nurse Practitioner 0648414565 Reassigns benefits to 1 organization
I20200501000726 MO Practitioner - Nurse Practitioner 0648414565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Women's Healthcare LTDGroup PAC ID 1759270648, 29 clinicians

Practice addresses (Care Compare)

1170 Fortune Blvd
Shiloh, IL 62269-7358
Phone (618) 997-5266

Merit-based Incentive Payment System (MIPS)

Final score
82.36 of 100Reported as group
Quality
84.63
Improvement activities
40
Cost
55.93

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Women's Healthcare Mo PC CurrentSince Apr 1, 2020 Accepting new patients
Heartland Women's Healthcare Mo PC CurrentSince Apr 1, 2020 Accepting new patients
Heartland Women's Healthcare LTD CurrentSince Jun 25, 2018 Accepting new patients
Heartland Women's Healthcare LTD CurrentSince Jun 25, 2018 Accepting new patients
Heartland Women's Healthcare Il PC Past Accepting new patients

Locations

900 E Walnut St
Ste 10
Carbondale, IL 62901

3408 Office Park Dr
Marion, IL 62959
Phone 6189975266 ext. 176

3230 Veterans Memorial Dr
Mount Vernon, IL 62864

1197 Fortune Blvd
Ste 1
Shiloh, IL 62269
Phone (877) 456-2496

1170 Fortune Blvd
Shiloh, IL 62269
Phone (205) 246-5690

1197 Fortune Blvd
Shiloh, IL 62269

6 Park Pl
Swansea, IL 62226
Phone (618) 233-0522

Interoperability endpoints

  • Direct secure messaging: ashley.wittler.1@21608.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1982045514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 FORTUNE BLVD",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697358",
            "telephone_number": "618-997-5266",
            "fax_number": "883-431-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 FORTUNE BLVD",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697358",
            "telephone_number": "618-997-5266",
            "fax_number": "883-431-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTLER",
        "first_name": "ASHLEY",
        "middle_name": "A.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IL",
            "license": "209010684",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209010684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDFPR",
            "identifier": "209010684",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shiloh, IL

Sources for this page

Verify at the official NPI Registry.