CONNIE KAY ASH (APRN) – Family Nurse Practitioner, NPI 1720402464

CONNIE KAY ASH (APRN) is a healthcare provider. based in Blytheville, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. A004039 (AR). The NPI Number for CONNIE KAY ASH (APRN) is 1720402464

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
CONNIE KAY ASH (APRN)
NPI
1720402464
Phone
(870) 762-5360
Address
1521 N 10TH ST
Enumeration Date
18 February 2014
Last Update Date
18 February 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5013379031
Graduation Year
2013 (13 years ago)
PAC ID
9436381464
Group Practice PAC ID
3971043290
Professional Enrollment ID
I20140407000474
Address ID
AR721044700MA2223XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for CONNIE KAY ASH (APRN)

  • 1521 N 10TH ST

    SUITE C

    BLYTHEVILLE, AR 723151405

    Phone: (870) 762-5360

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $466.

Total Amount is formed as General ($466) + Research ($0) + Ownership ($0) = $466.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($193).

Total Amount

$466

General + Research + Ownership

Payments

14

Total payment records

General Amount

$466

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-04-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140407000474INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72315)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971043290View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerIL
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

What unique ID ties claims to CONNIE KAY ASH (APRN)?
NPI 1720402464 is assigned to CONNIE KAY ASH (APRN) under the national enumeration system.
Is CONNIE KAY ASH (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is CONNIE KAY ASH (APRN)?
The page reflects Family Nurse Practitioner for CONNIE KAY ASH (APRN). Clinical services aligned with this taxonomy classification.
Does CONNIE KAY ASH (APRN) practice in Arkansas?
You will see Blytheville, Arkansas on file for CONNIE KAY ASH (APRN) alongside any extra practice locations.
Is CONNIE KAY ASH (APRN) a real provider?
This page reflects official NPPES data for NPI 1720402464. Always confirm identity and privileges with the practice and licensing boards.

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