Ashley Erinn Forman, PMHNP
NPI 1518329309ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Atlanta, GA
Nurse Practitioner, Psych/Mental Health (PMHNP) with Personal Recovery Network LLC, practicing in Atlanta, Georgia. Their prescriptions cost Medicare Part D more than their services did: $6,882 for 49 claims, against $2,250 paid for services in 2024. Otsuka America Pharmaceutical, Inc. was the largest of 2 companies reporting payments in 2024, $42.11 in all, mostly food and beverage.
Overview
| NPI | 1518329309 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PMHNP |
| Sole proprietor | No |
| NPI issued | Mar 22, 2016 |
| Last updated in NPPES | Oct 27, 2025 |
| Certified by provider | Oct 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | APRN-NP204187 | GA |
| Registered Nurse | 163W00000X | RN204187 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 45 across 4 procedure codes |
| Paid by Medicare | $2,250 |
Part D prescriptions in 2024
| Prescriptions (claims) | 49 · 50 30-day fills |
|---|---|
| Patients | 17 |
| Total drug cost | $6,882 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Personal Recovery Network LLCKissimmee, FL · 611 clinicians
Industry payments (Open Payments)
- 2024$42.11 · 2 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | $21.49 | 1 |
| Indivior Inc. | $20.62 | 1 |
What the 2024 payments were for
- Food and Beverage$42.11 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other psychiatric nurse practitioners in Atlanta
- 1023664232
- 1396230413
- 1417458498
- 1417623984
- 1801262712
- 1801527502
- 1811460967
- 1811536386
- 1841675667
- 1871908095
- 1922453117
- 1942693346
All 252 psychiatric nurse practitioners in Atlanta · All psychiatric nurse practitioners in Georgia