Individual provider Active NPI

Ashley Fine, CRNP

  • Family Nurse Practitioner
  • Bel Air, MD
National Provider Identifier
1063820280
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R192288 Issued in MD
Practice address
520 Upper Chesapeake Dr Ste 206
Bel Air, MD 21014-4360
Phone
(410) 879-9100
Fax
(410) 638-0408
NPI assigned
Jul 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R192288 MD
Family Nurse Practitioner 363LF0000X 5805 CT
Family Nurse Practitioner 363LF0000X R192288 MD Primary

Addresses

Primary practice location

520 Upper Chesapeake Dr Ste 206
Bel Air, MD 21014-4360

Mailing address

520 Upper Chesapeake Dr Ste 206
Bel Air, MD 21014-4360
Phone (410) 879-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151130000633 MD Practitioner - Nurse Practitioner 9931426137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Bay ENT and Audiology Group LLCGroup PAC ID 0840646717, 11 clinicians

Practice addresses (Care Compare)

9114 Philadelphia Rd
Suite 108
Baltimore, MD 21237-4346
Phone (410) 248-6300

Merit-based Incentive Payment System (MIPS)

Final score
86.58 of 100Reported as group
Quality
82.37
Improvement activities
40
Cost
78.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5805CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Bay ENT & Audiology Group LLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

520 Upper Chesapeake Dr
Ste 206
Bel Air, MD 21014
Phone (410) 879-9100

9114 Philadelphia Rd
Ste 108
Rosedale, MD 21237
Phone (410) 248-6300

Interoperability endpoints

  • Direct secure messaging: afine651608@direct.umm.edu
  • Direct secure messaging: ashleyfine@gjda.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1063820280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR STE 206",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144360",
            "telephone_number": "410-879-9100",
            "fax_number": "410-638-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR STE 206",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144360",
            "telephone_number": "410-879-9100",
            "fax_number": "410-638-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "ASHLEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R192288",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "5805",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R192288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.