Individual provider Active NPI

Ashley Maieritsch, APRN, FNP-BC

  • Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1154865178
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209015259 Issued in IL
Practice address
1055 Howell Mill Rd NW
Atlanta, GA 30318-5557
Phone
(866) 849-0692
NPI assigned
Dec 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71016155A IN
Nurse Practitioner 363L00000X 2024046191 MO
Nurse Practitioner 363L00000X APRN-3961 HI
Nurse Practitioner 363L00000X 1096920 TX
Nurse Practitioner 363L00000X 28733 SC
Nurse Practitioner 363L00000X 1-199023 AL
Nurse Practitioner 363L00000X 5020458 NC
Nurse Practitioner 363L00000X 0036386 OH
Nurse Practitioner 363L00000X APN.0998449-NP CO
Nurse Practitioner 363L00000X 4029352 KY
Nurse Practitioner 363L00000X 10012041 OR
Nurse Practitioner 363L00000X 907930 MS
Nurse Practitioner 363L00000X 36360 TN
Nurse Practitioner 363L00000X 209015259 IL Primary
Nurse Practitioner 363L00000X 293117 AZ

Addresses

Primary practice location

1055 Howell Mill Rd NW
Atlanta, GA 30318-5557

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other practice location 1

5841 S Maryland Ave
Chicago, IL 60637-1447
Phone (773) 702-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, HI, FL, CO, TX, OR, AZ, AL, TN, SC, NC11 enrollments
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 11

Enrollment IDStateProvider typePAC IDDetails
I20170302000564 IL Practitioner - Nurse Practitioner 5294019642 Reassigns benefits to 3 organizations
I20230331002012 HI Practitioner - Nurse Practitioner 5294019642 Reassigns benefits to 1 organization
I20230406000025 FL Practitioner - Nurse Practitioner 5294019642 Reassigns benefits to 1 organization
I20230412002817 CO Practitioner - Nurse Practitioner 5294019642 Reassigns benefits to 1 organization
I20240131001225 TX Practitioner - Nurse Practitioner 5294019642 Reassigns benefits to 1 organization
I20240212003442 OR Practitioner - Nurse Practitioner 5294019642 Reassigns benefits to 1 organization
I20240212004406 AZ Practitioner - Nurse Practitioner 5294019642 Reassigns benefits to 1 organization
I20240412001941 AL Practitioner - Nurse Practitioner 5294019642 Reassigns benefits to 1 organization
I20240612000335 TN Practitioner - Nurse Practitioner 5294019642 Reassigns benefits to 1 organization
I20240625004333 SC Practitioner - Nurse Practitioner 5294019642 Reassigns benefits to 1 organization
I20240814002360 NC Practitioner - Nurse Practitioner 5294019642 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28733SCMDAnesthesiology Physician
APN.0998449-NPCOMDNurse Practitioner
209015259ILMDNurse Practitioner
71016155AINMDNurse Practitioner
4029352KYMDNurse Practitioner
2024046191MOMDNurse Practitioner
5020458NCMDNurse Practitioner
0036386OHMDNurse Practitioner
10012041ORMDNurse Practitioner
1096920TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Feb 1, 2017 Accepting new patients
The University of Chicago Medical Center CurrentSince Feb 1, 2017 Accepting new patients
University of Chicago CurrentSince Sep 11, 2023 Accepting new patients
Devoted Medical Group Professional Corporation CurrentSince Mar 21, 2023 Accepting new patients
Devoted Medical NC PC CurrentSince Jul 22, 2024 Accepting new patients
Devoted Medical PC CurrentSince Nov 1, 2022 Accepting new patients
Devoted Medical Group of Texas Inc CurrentSince Dec 30, 2023 Accepting new patients

Locations

16435 N Scottsdale Rd
Ste 285
Scottsdale, AZ 85254
Phone (520) 346-4431

880 SW 145th Ave
Ste 202
Pembroke Pines, FL 33027
Phone (615) 275-6612

1055 Howell Mill Rd NW
Atlanta, GA 30318
Phone (404) 566-6071

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

200 S Wacker Dr
Fl 31
Chicago, IL 60606
Phone (312) 674-4746

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

4145 SW Watson Ave
Ste 350
Beaverton, OR 97005
Phone (503) 728-8546

220 N Main St
Ste 500
Greenville, SC 29601
Phone (347) 294-3414

3200 West End Ave
Nashville, TN 37203
Phone (615) 510-1646

1201 Fannin St
Ste 262
Houston, TX 77002
Phone (714) 873-6202

Interoperability endpoints

  • Direct secure messaging: abelbinrn80818@uchospital.direct-ci.com

Organizations & group practices 8

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": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1154865178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 HOWELL MILL RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185557",
            "telephone_number": "866-849-0692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 S Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371447",
            "country_code": "US",
            "telephone_number": "773-702-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIERITSCH",
        "first_name": "ASHLEY",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-09",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71016155A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2024046191",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-3961",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1096920",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "28733",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-199023",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5020458",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "0036386",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0998449-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4029352",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10012041",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "907930",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "36360",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209015259",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "293117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.