Individual provider Active NPI

Ashlyn Clay Difrederico, NP

  • Family Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1295296697
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0036367 Issued in OH
Practice address
30 E Apple St Ste 6252
Dayton, OH 45409-2939
Phone
(937) 208-6730
Fax
(770) 420-3422
NPI assigned
Mar 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN267756 GA
Family Nurse Practitioner 363LF0000X APRN.CNP.0036367 OH Primary

Addresses

Primary practice location

30 E Apple St Ste 6252
Dayton, OH 45409-2939

Mailing address

30 E Apple St Ste 6252
Dayton, OH 45409-2939
Phone (937) 208-6730

Other identifiers 2

IdentifierTypeStateIssuer
RN.534014OtherOHRN LICENSURE
RN267756OtherGARN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240711002976 OH Practitioner - Nurse Practitioner 1355674797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uvpc Specialists, Inc.Group PAC ID 8921022260, 80 clinicians

Practice addresses (Care Compare)

30 E Apple St
Suite 6252
Dayton, OH 45409-2939
Phone (937) 208-6730

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Upper Valley Medical Center Hospital, Troy, OH, CCN 360174

Merit-based Incentive Payment System (MIPS)

Final score
87.12 of 100Reported as group
Quality
84.25
Promoting interoperability
100
Improvement activities
40
Cost
72.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN267756GAMDFamily Nurse Practitioner
APRN.CNP.0036367OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uvpc Specialists, Inc. CurrentSince Jun 3, 2024 Accepting new patients
Uvpc Specialists Inc. CurrentSince Jun 3, 2024 Accepting new patients

Locations

30 E Apple St
Ste 6252
Dayton, OH 45409
Phone (937) 208-6060

8439 Yankee St
Dayton, OH 45458
Phone (937) 440-7872

1055 Summit Dr
Middletown, OH 45042
Phone (513) 420-4678

3006 N Dixie Hwy
Ste 102
Troy, OH 45373
Phone (937) 335-2075

3130 N County Road 25A
Ste 212
Troy, OH 45373
Phone (937) 335-0061

Organizations & group practices 2

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 2

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1295296697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E APPLE ST STE 6252",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092939",
            "telephone_number": "937-208-6730",
            "fax_number": "770-420-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E APPLE ST STE 6252",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092939",
            "telephone_number": "937-208-6730",
            "fax_number": "770-420-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFREDERICO",
        "first_name": "ASHLYN",
        "middle_name": "CLAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN267756",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0036367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSURE",
            "identifier": "RN.534014",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN267756",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.