Ashley Filiatreau Spalding, APRN
NPI 1669750147ActiveIndividual· Nurse Practitioner· Louisville, KY
Nurse Practitioner (APRN) with Ephraim McDowell Health Resource Inc and 2 other groups, practicing in Louisville, Kentucky. Their prescriptions cost Medicare Part D more than their services did: $18,022 for 336 claims, against $5,068 paid for services in 2024. Merck Sharp & Dohme LLC reported $1,187 in payments in 2025, mostly travel and lodging. Lists Ephraim McDowell Regional Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1669750147 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Aug 1, 2011 |
| Last updated in NPPES | Feb 2, 2026 |
| Certified by provider | Feb 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 3007033 | KY |
| Nurse Practitioner, Family | 363LF0000X | 71012946A | IN |
| Nurse Practitioner | 363L00000X | 71012946A | IN |
| Nurse Practitioner, Family | 363LF0000X | 3007033 | KY |
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 (IN); Practitioner - Nurse Practitioner (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 49 |
|---|---|
| Services billed | 76 across 8 procedure codes |
| Paid by Medicare | $5,068 |
Part D prescriptions in 2024
| Prescriptions (claims) | 336 · 416 30-day fills |
|---|---|
| Patients | 158 |
| Total drug cost | $18,022 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Ephraim McDowell Health Resource IncDanville, KY · 163 clinicians
- The James B Haggin Memorial Hospital IncHarrodsburg, KY · 28 clinicians
- Empact Midwest LLCStanford, KY · 25 clinicians
Hospital affiliations
- Ephraim McDowell Regional Medical CenterDanville, KY
- The James B. Haggin Memorial HospitalHarrodsburg, KY
Other facilities
- Hosparus, IncHospice · Louisville, KY
Industry payments (Open Payments)
- 2025$1,187 · 8 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Merck Sharp & Dohme LLC | $1,187 | 8 |
What the 2025 payments were for
- Travel and Lodging$862.93 · 4 payments
- Food and Beverage$324.00 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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