MRS. ASHLEY LACEY BOSTICK (NP) – Nurse Practitioner, NPI 1306190178

MRS. ASHLEY LACEY BOSTICK (NP) is a healthcare provider. based in Moultrie, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN181134 (GA). The NPI Number for MRS. ASHLEY LACEY BOSTICK (NP) is 1306190178

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ASHLEY LACEY BOSTICK (NP)
NPI
1306190178
Phone
(229) 891-9131
Address
PO BOX 40
Enumeration Date
1 November 2012
Last Update Date
8 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2298906612
Graduation Year
2012 (14 years ago)
PAC ID
6305098989
Group Practice PAC ID
8123249224
Professional Enrollment ID
I20121205000328
Address ID
GA317686783MO8XXXXCTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MRS. ASHLEY LACEY BOSTICK (NP)

  • PO BOX 40

    MOULTRIE, GA 317760040

    Phone: (229) 891-9131

    Fax: (229) 891-9079

    Type: Mailing

  • 3131 S MAIN ST

    MOULTRIE, GA 317686925

    Phone: (229) 891-9131

    Fax: (229) 891-9079

    Type: Location

  • PO BOX 2876

    MOULTRIE, GA 317762876

    Phone: (229) 890-6612

    Fax: (229) 890-6621

    Type: Mailing

  • 8 LIVE OAK CT

    MOULTRIE, GA 317686783

    Phone: (229) 890-6612

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $128.

Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Cgg Medical Inc ($58).

Total Amount

$128

General + Research + Ownership

Payments

5

Total payment records

General Amount

$128

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2012-12-05

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
I20121205000328INurse PractitionerGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes131107$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg5649$0
20553Injection of trigger points, 3 or more muscles4843$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4534$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 31776)

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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: 8123249224View full group profile
NameSpecialtyState
Orthopedic SurgeryGA

Reviews

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Frequently asked questions

What NPI should I save for MRS. ASHLEY LACEY BOSTICK (NP)?
Save NPI 1306190178 if you need a stable reference for MRS. ASHLEY LACEY BOSTICK (NP).
Does this profile mean MRS. ASHLEY LACEY BOSTICK (NP) is currently active?
Yes — MRS. ASHLEY LACEY BOSTICK (NP) appears active in the national provider directory.
Can you summarize MRS. ASHLEY LACEY BOSTICK (NP)'s specialty in plain language?
Clinically, the directory lists MRS. ASHLEY LACEY BOSTICK (NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. ASHLEY LACEY BOSTICK (NP)?
The page summarizes Moultrie, Georgia for MRS. ASHLEY LACEY BOSTICK (NP); expand the address list for detail.
What if Moultrie, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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