ASHLEY NICOLE SOWERS NP
NPI 1497342331
Nurse Practitioner - Family in Marion, OH

Q: What is Ashley Sowers's NPI number?

The NPI number for Ashley Sowers is 1497342331. It was assigned to this individual provider in the NPPES registry on December 27, 2020.

Q: What is Ashley Sowers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ashley Sowers was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 27, 2020PECOS EnrolledAccepts Medicare Assignment

87.65/100

CMS Quality Rating

990 S PROSPECT ST STE 2, MARION, OH 43302(740) 383-7833 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2021, Dec 27, 2020 (2 updates tracked since 2020).

On this page

About Ashley Nicole Sowers Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY NICOLE SOWERS NP (NPI 1497342331) is an individual family provider in Marion, Ohio, licensed in Ohio (APRN.CNP.0027558) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1497342331

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameASHLEY NICOLE SOWERSCredential: NP

Location Address990 S PROSPECT ST STE 2Marion, OH 43302-6283

Mailing Address1471 Township Highway 13Sycamore, OH 44882-9756 · (567) 674-3500

Phone(740) 383-7833

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 27, 2020

Last NPPES UpdateDecember 15, 20212 updates tracked since enumeration

NPPES CertifiedDecember 27, 2020

✔ NPI 1497342331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · APRN.CNP.0027558

990 S PROSPECT ST STE 2, Marion, OH 43302

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashley Nicole Sowers Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204243603

PECOS Enrollment IDI20210331002898

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

91 services58 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

85 services66 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

40 services39 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marion General Hospital

Acute Care Hospitals · Marion, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360011

Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.65/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.45

Promoting Interoperability

96.03

Improvement Activities

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALEX PERCHUK M.D.

Psychiatry & Neurology (Vascular Neurology)

990 S PROSPECT ST STE 2
MARION, OH 43302

Marion County (740) 383-7833

HALINA PRITULA M.D.

Psychiatry & Neurology (Neurology)

990 S PROSPECT ST STE 2
MARION, OH 43302

Marion County (740) 383-7833

BRYAN MATTHEW GOUGH M.D.

Psychiatry & Neurology (Neurology)

990 S PROSPECT ST STE 2
MARION, OH 43302

Marion County (740) 383-7833

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashley Sowers's NPI number?

The NPI number for Ashley Sowers is 1497342331. It was assigned to this individual provider in the NPPES registry on December 27, 2020.

Where is Ashley Sowers located?

Ashley Sowers practices at 990 S Prospect St Ste 2, Marion, OH 43302. The listed phone number is (740) 383-7833.

What is Ashley Sowers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ashley Sowers enrolled in Medicare?

Yes. Ashley Sowers is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ashley Sowers accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Ashley Sowers as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ashley Sowers affiliated with any hospitals?

According to CMS data, Ashley Sowers is affiliated with Marion General Hospital.

When was this NPI record last updated?

The NPPES record for Ashley Sowers was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.