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

Q: 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.

Q: What is Ashley Prater'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 Prater was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 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: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2023, Apr 7, 2022, Mar 10, 2020 (3 updates tracked since 2020).

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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 3 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 AddressPo Box 432Pikeville, KY 41502-0432 · (606) 430-2213 · Fax (606) 432-4365

Phone(606) 430-2213

Fax(606) 432-4365

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 10, 2020

Last NPPES UpdateMay 1, 20233 updates tracked since enumeration

NPPES CertifiedMay 1, 2023

✔ 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

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Secondary Practice Locations 3

Location 1400 University Dr Ste 101Prestonsburg, KY 41653-1080 · Phone (606) 886-1173 · Fax (606) 886-2193

Location 2238 Cassidy BlvdPikeville, KY 41501-1426 · Phone (606) 430-2230 · Fax (606) 437-2027

Location 3723 S Lake DrPrestonsburg, KY 41653-1340 · Phone (606) 430-2225

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 from Home State Health, Ambetter Health and more.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 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.

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

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

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

Buchanan General Hospital

Acute Care Hospitals · Grundy, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490127

Location1535 Slate Creek RoadGrundy, VA 24614 · Buchanan 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

Quality

72.39

Promoting Interoperability

100

Improvement Activities

Cost

70.65

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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