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

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