Individual provider Active NPI

Ashley Lauren Beccaloni, FNP-BC

  • Family Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1285227355
Registry record updated May 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R209931 Issued in MD
Practice address
8880 McGaw Rd Ste B
Columbia, MD 21045-5166
Phone
(410) 910-6156
NPI assigned
Feb 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R209931 MD Primary

Addresses

Primary practice location

8880 McGaw Rd Ste B
Columbia, MD 21045-5166

Mailing address

18303 Wickham Rd
Olney, MD 20832-3141
Phone (570) 947-6564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, FL, NJ, NY, VA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20210721001727 MD Practitioner - Nurse Practitioner 7416350905
I20220110000067 DC Practitioner - Nurse Practitioner 7416350905
I20240226000115 FL Practitioner - Nurse Practitioner 7416350905
I20240708003376 NJ Practitioner - Nurse Practitioner 7416350905 Reassigns benefits to 1 organization
I20240802003142 NY Practitioner - Nurse Practitioner 7416350905
I20240912000742 VA Practitioner - Nurse Practitioner 7416350905

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nava Health Medical Group, LLCGroup PAC ID 7517366149, 5 clinicians

Practice addresses (Care Compare)

34 Farm View
Building F Nava Health
Montvale, NJ 07645
Phone (800) 762-6282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R209931MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Nava Health Medical Group, LLC Family PastSince Apr 6, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619913600000",
    "number": "1285227355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18303 WICKHAM RD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208323141",
            "telephone_number": "570-947-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 MCGAW RD STE B",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455166",
            "telephone_number": "410-910-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECCALONI",
        "first_name": "ASHLEY",
        "middle_name": "LAUREN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-05-02",
        "certification_date": "2021-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R209931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.