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

Ashley Shull Wilson

Individual provider Family Nurse Practitioner · NPI 1407631435

Ashley Shull Wilson is a Nurse Practitioner in Farmville, Virginia. Qualified in 2023, 3 years ago. Practices with Bon Secours Urgent Care LLC, a 122-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
3
Licensed in
VA
In the registry since
2023
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Practice location Address checks out

833 Buffalo St Ste 200
Farmville, VA 23901-1111
Phone: (434) 392-8177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14426 Hull Street Rd, Chesterfield, VA 23832-2525 — (804) 887-8322

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024187957 (VA)

Record details

NPI number1407631435
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2023
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address2105 Cottage Rd, Blackstone, VA 23824-3447

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Bon Secours Urgent Care Llc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Farmville