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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ASHLEY NICOLE PRATER APRN
NPI 1548895535
Nurse Practitioner - Family in Pikeville, KY

Active since March 10, 2020PECOS EnrolledAccepts Medicare Assignment
86.86/100
CMS Quality Rating
184 S MAYO TRL, PIKEVILLE, KY 41501(606) 430-2213(606) 432-4365 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2026, Aug 12, 2026, May 1, 2023 and 2 more (5 updates tracked since 2020).

About Ashley Nicole Prater Aprn NPPES

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

ASHLEY NICOLE PRATER APRN (NPI 1548895535) is an individual family provider in Pikeville, Kentucky, licensed in Kentucky (3014325) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Whitesburg Arh Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1548895535
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameASHLEY NICOLE PRATERCredential: APRN
Location Address184 S MAYO TRLPikeville, KY 41501-1518
Mailing Address5000 Ky Route 321Prestonsburg, KY 41653-9113 · (606) 886-7645
Phone(606) 430-2213
Fax(606) 432-4365
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 10, 2020
Last NPPES UpdateSeptember 30, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1548895535 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 KY · 3014325
184 S MAYO TRL, Pikeville, KY 41501
Open in Google Maps ↗

Secondary Practice Locations 5

Location 11025 Euclid AvePaintsville, KY 41240-8645 · Phone (731) 394-1145
Location 2723 S Lake DrPrestonsburg, KY 41653-1340 · Phone (606) 430-2225
Location 3238 Cassidy BlvdPikeville, KY 41501-1426 · Phone (606) 430-2230 · Fax (606) 437-2027
Location 4400 University Dr Ste 101Prestonsburg, KY 41653-1080 · Phone (606) 886-1173 · Fax (606) 886-2193
Location 55000 Ky Route 321Prestonsburg, KY 41653-9113 · Phone (606) 886-7645

Other Identifiers 1

Medicaid7100665330KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashley Nicole Prater Aprn 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 ID5193122018
PECOS Enrollment IDI20210920003178
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.

Medicare Billing Reassignments

12

Medicare enrollment records show Ashley Prater reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pikeville Medical Center Inc.
0.5 mi
Multi-Specialty
911 BYPASS RD BLDG A
Pikeville, KY 41501
  • Reassigned Medicare billing, Kentucky enrollment
  • 579 clinicians in this Medicare group
NPI 1528195864 (606) 430-3500
Eastern Kentucky Tender Care Pediatrics LLC
20 mi
Rural Health
400 UNIVERSITY DR STE 101
Prestonsburg, KY 41653
  • Reassigned Medicare billing, Kentucky enrollment
  • 19 clinicians in this Medicare group
NPI 1043437254 (606) 886-1173
Frontier Medical Associates Of Prestonsburg Inc
20 mi
Rural Health
400 UNIVERSITY DR STE 211A
Prestonsburg, KY 41653
  • Reassigned Medicare billing, Kentucky enrollment
  • 35 clinicians in this Medicare group
NPI 1447840798 (606) 886-6622
Integrated Wound Care Kentucky PLLC
22 mi
Primary Care
60 PHILLIPS BRANCH RD
Phelps, KY 41553
  • Reassigned Medicare billing, Kentucky enrollment
  • 7 clinicians in this Medicare group
NPI 1144970641 (718) 963-3495
Arh Tug Valley Health Services, Inc.
22 mi
Otolaryngology
5322 KY ROUTE 321
Prestonsburg, KY 41653
  • Reassigned Medicare billing, Kentucky enrollment
  • 242 clinicians in this Medicare group
NPI 1093672230 (606) 886-2712
Martin County Rural Health Clinic PLLC
26 mi
Rural Health
64 KIRK PLZ
Inez, KY 41224
  • Reassigned Medicare billing, Kentucky enrollment
  • 25 clinicians in this Medicare group
NPI 1316363112 (606) 298-2520
Frontier Medical Associates Of Paintsville Inc
28 mi
Rural Health
713 BROADWAY ST STE 301B
Paintsville, KY 41240
  • Reassigned Medicare billing, Kentucky enrollment
  • 38 clinicians in this Medicare group
NPI 1568070142 (606) 372-1234
Albaree Health Services LLC
33 mi
Internal Medicine
900 TOM FRAZIER WAY, STE 200
Salyersville, KY 41465
  • Reassigned Medicare billing, Kentucky enrollment
  • 37 clinicians in this Medicare group
NPI 1730232182 (606) 349-8100
Brock Medical, LLC
92 mi
Nurse Practitioner
1752 HIGHWAY 192 W, SUITE 1
London, KY 40741
  • Reassigned Medicare billing, Kentucky enrollment
  • 362 clinicians in this Medicare group
NPI 1023379815 (606) 330-0055
Ultra Health LLC
252 mi
Geriatric Medicine
217 6TH AVE N STE 43952
Nashville, TN 37219
  • Reassigned Medicare billing, Kentucky enrollment
  • 64 clinicians in this Medicare group
NPI 1922469543 (731) 394-1145

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
356 services295 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
48 services48 patients
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.
31 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Whitesburg Arh Hospital

Acute Care Hospitals · Whitesburg, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180002
Location240 Hospital RoadWhitesburg, KY 41858 · Letcher County
Emergency services Birthing friendly

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

Paul B Hall Regional Medical Center

Acute Care Hospitals · Paintsville, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180078
Location625 James S Trimble BoulevardPaintsville, KY 41240 · Johnson County
Emergency services

Lonesome Pine Hospital

Acute Care Hospitals · Big Stone Gap, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490114
Location1990 Holton Avenue EastBig Stone Gap, VA 24219 · Wise County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41501 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

86.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.39
Promoting Interoperability100
Improvement Activities40
Cost70.65

Other Providers at the Same Location NPPES 20

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

JOHN RYAN MORRIS DO
Student in an Organized Health Care Education/Training Program
184 S MAYO TRL
PIKEVILLE, KY 41501
Pike County (606) 430-2213
BRITTANY ANN NICOLE FAIRCHILD DO
Family Medicine
184 S MAYO TRL
PIKEVILLE, KY 41501
Pike County (606) 218-3985
MALESHEA Y HOPKINS DO
Family Medicine
184 S MAYO TRL
PIKEVILLE, KY 41501
Pike County (606) 430-2213
DR. JOE EAGLE KINGERY D.O.
Family Medicine
184 S MAYO TRL
PIKEVILLE, KY 41501
Pike County (606) 430-2213
ANTOINETTE JUSTICE D.O.
Family Medicine
184 S MAYO TRL
PIKEVILLE, KY 41501
Pike County (606) 218-4800
DR. THOMAS B WEISS DO
Internal Medicine (Nephrology)
184 S MAYO TRL
PIKEVILLE, KY 41501
Pike County (606) 430-2213
TEANNA J MOORE D.O.
Family Medicine
184 S MAYO TRL
PIKEVILLE, KY 41501
Pike County (606) 218-4800
LAURA E GRIFFIN D.O.
Family Medicine
184 S MAYO TRL
PIKEVILLE, KY 41501
Pike County (606) 218-4800

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 Prater's NPI number?

The NPI number for Ashley Prater is 1548895535. It was assigned to this individual provider in the NPPES registry on March 10, 2020.

Where is Ashley Prater located?

Ashley Prater practices at 184 S Mayo Trl, Pikeville, KY 41501. The listed phone number is (606) 430-2213.

What is Ashley Prater's specialty?

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

Is Ashley Prater enrolled in Medicare?

Yes. Ashley Prater 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.

Which organizations bill Medicare for Ashley Prater's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Prater reassigns Medicare benefits to 12 organizations: Pikeville Medical Center Inc. (Pikeville, KY), Eastern Kentucky Tender Care Pediatrics LLC (Prestonsburg, KY), Frontier Medical Associates Of Prestonsburg Inc (Prestonsburg, KY), Integrated Wound Care Kentucky PLLC (Phelps, KY), Arh Tug Valley Health Services, Inc. (Prestonsburg, KY) and 7 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashley Prater's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Prater accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Ashley Prater 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 Prater affiliated with any hospitals?

According to CMS data, Ashley Prater is affiliated with Whitesburg Arh Hospital, Pikeville Medical Center, Paul B Hall Regional Medical Center and Lonesome Pine Hospital.

When was this NPI record last updated?

The NPPES record for Ashley Prater was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.