Individual provider Active NPI

Christina Ann M Asch, ARNP BC

  • Nurse Practitioner
  • Titusville, FL
National Provider Identifier
1225014384
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP980262 Issued in FL
Practice address
4401 S Hopkins Ave
Ste 103
Titusville, FL 32780-6679
Phone
(321) 268-4767
Fax
(321) 267-8765
NPI assigned
Dec 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP980262 FL Primary

Addresses

Primary practice location

4401 S Hopkins Ave
Ste 103
Titusville, FL 32780-6679

Mailing address

4401 S Hopkins Ave
Ste 103
Titusville, FL 32780-6679
Phone (321) 268-4767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040922000414 FL Practitioner - Nurse Practitioner 0446228993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brevard Medical Dermatology, PAGroup PAC ID 4688999345, 9 clinicians

Practice addresses (Care Compare)

7960 N Wickham Raod
Suite 103
Melbourne, FL 32940-8096
Phone (321) 428-4737

Hospital & facility affiliations

  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brevard Medical Dermatology, PA CurrentSince Feb 1, 2016 Accepting new patients
DRS Roberts & Bryan PA CurrentSince Apr 9, 2005 Accepting new patients
Brevard Pain Management, Inc. Past Accepting new patients

Locations

1286 Florida Ave S
Rockledge, FL 32955
Phone (321) 636-7780

4500 S Hopkins Ave
Titusville, FL 32780
Phone (321) 264-2100

805 Century Medical Dr
Ste A
Titusville, FL 32796
Phone (321) 268-6870

8057 Spyglass Hill Rd
Ste 102
Viera, FL 32940
Phone (321) 428-4545

7960 N Wickham Rd
Ste 103
Viera, FL 32940
Phone (321) 428-4737

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1225014384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 S HOPKINS AVE",
            "address_2": "STE 103",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327806679",
            "telephone_number": "321-268-4767",
            "fax_number": "321-267-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 S HOPKINS AVE",
            "address_2": "STE 103",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327806679",
            "telephone_number": "321-268-4767",
            "fax_number": "321-267-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASCH",
        "first_name": "CHRISTINA",
        "middle_name": "ANN M",
        "name_prefix": "Ms.",
        "credential": "ARNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP980262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.