1. Home
  2. Directory
  3. Alabama
  4. Huntsville
  5. Nurse Practitioner
  6. NPI Profile

ASHLEY M WILLINGHAM
NPI 1639867211
Nurse Practitioner - Family in Huntsville, AL

Active since May 01, 2023PECOS Enrolled
4715 WHITESBURG DR SE, HUNTSVILLE, AL 35802(256) 881-5151(256) 880-3939 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2023, May 1, 2023 (2 updates tracked since 2023).

About Ashley M Willingham NPPES

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

ASHLEY M WILLINGHAM (NPI 1639867211) is an individual family provider in Huntsville, Alabama, licensed in Alabama (1-166173) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1639867211
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameASHLEY M WILLINGHAM
Location Address4715 WHITESBURG DR SEHuntsville, AL 35802-1649
Mailing Address4715 Whitesburg Dr SeHuntsville, AL 35802-1649 · (256) 881-5151 · Fax (256) 880-3939
Phone(256) 881-5151
Fax(256) 880-3939
Sole ProprietorNo
Enumeration DateMay 1, 2023
Last NPPES UpdateJuly 13, 20232 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
✔ NPI 1639867211 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 AL · 1-166173
4715 WHITESBURG DR SE, Huntsville, AL 35802
Open in Google Maps ↗

Other Names 1

Former Name (1)Ashley Domzalski

Secondary Practice Location 1

Location 19238 Madison Blvd, Building 1, Ste 200Madison, AL 35758 · Phone (256) 265-3285

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley M Willingham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Ashley Willingham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sportsmed Orthopaedic Specialists
Same address
Orthopaedic Surgery
4715 WHITESBURG DR.
Huntsville, AL 35802
  • Reassigned Medicare billing, Alabama enrollment
  • 111 clinicians in this Medicare group
NPI 1508947839 (256) 881-5151

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35802 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

KAITLYN J GAGAT MD
Anesthesiology (Pain Medicine)
4715 WHITESBURG DR SE
HUNTSVILLE, AL 35802
Madison County (256) 881-5151
LAYLA GAIL TRIGG PA
Physician Assistant
4715 WHITESBURG DR SE
HUNTSVILLE, AL 35802
Madison County (256) 881-5151
DANIEL DURAY RALEY MD
Family Medicine (Sports Medicine)
4715 WHITESBURG DR SE
HUNTSVILLE, AL 35802
Madison County (256) 881-3939
THOMAS KOUKOS PT
Specialist
4715 WHITESBURG DR SE
HUNTSVILLE, AL 35802
Madison County (256) 881-5151
JAVIER ALBERTO RETO M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
4715 WHITESBURG DR SE
HUNTSVILLE, AL 35802
Madison County (256) 881-5151
MRS. JENNIFER CLAIRE BUCKNER RAINEY PA-C
Physician Assistant
4715 WHITESBURG DR SE
HUNTSVILLE, AL 35802
Madison County (256) 881-5151
AMBER MITCHELL NP
Nurse Practitioner
4715 WHITESBURG DR SE
HUNTSVILLE, AL 35802
Madison County (256) 650-1252
TAYLOR CLARK PA-C
Physician Assistant
4715 WHITESBURG DR SE
HUNTSVILLE, AL 35802
Madison County (256) 881-5151

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 Willingham's NPI number?

The NPI number for Ashley Willingham is 1639867211. It was assigned to this individual provider in the NPPES registry on May 1, 2023. The provider is also known as Ashley Domzalski.

Where is Ashley Willingham located?

Ashley Willingham practices at 4715 Whitesburg Dr SE, Huntsville, AL 35802. The listed phone number is (256) 881-5151.

What is Ashley Willingham's specialty?

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

Is Ashley Willingham enrolled in Medicare?

Yes. Ashley Willingham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ashley Willingham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Willingham reassigns Medicare benefits to Sportsmed Orthopaedic Specialists (Huntsville, AL). The 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 Willingham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ashley Willingham was last updated on July 13, 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.