Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ashley Crockett Wiley

Individual provider Family Nurse Practitioner · NPI 1770456428

Ashley Crockett Wiley is a Nurse Practitioner in Leesville, Louisiana. Qualified in 2025, 1 year ago. Practices with Clhg-Leesville, a 25-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
1
Licensed in
LA
In the registry since
2025

Practice location Address checks out

301 W Fertitta Blvd Ste 1
Leesville, LA 71446-4665
Phone: (337) 243-3040
Fax: (337) 392-9383
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 506 S 6th St, Leesville, LA 71446-4482 — (337) 239-2234

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 243142 (LA)

Record details

NPI number1770456428
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 29, 2025
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address301 W Fertitta Blvd Ste 1, Leesville, LA 71446-4665

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Clhg-Leesville — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Leesville