Individual provider Active NPI

Ashley Delserro, CRNP

  • Adult Health Nurse Practitioner
  • Lebanon, PA
National Provider Identifier
1306560701
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP026349 Issued in PA
Practice address
900 Tuck St
Lebanon, PA 17042-7446
Phone
(223) 365-1668
Fax
(717) 273-2065
NPI assigned
Sep 28, 2022
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP026349 PA Primary

Addresses

Primary practice location

900 Tuck St
Lebanon, PA 17042-7446

Mailing address

900 Tuck St
Lebanon, PA 17042-7446
Phone (223) 365-1668

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ashley.Delserro@longevityhealthplan.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20221021000565 PA Practitioner - Nurse Practitioner 3678949393

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
JB Pain Free MD PLLC Pain Medicine CurrentSince Jan 23, 2024 Accepting new patients

Locations

1052 E Philadelphia Ave
Gilbertsville, PA 19525

4075 E Market St
Ste 20
York, PA 17402
Phone (717) 244-8504

Interoperability endpoints

  • Direct secure messaging: ashley.delserro@longevityhealthplan.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1306560701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 TUCK ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427446",
            "telephone_number": "223-365-1668",
            "fax_number": "717-273-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 TUCK ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427446",
            "telephone_number": "223-365-1668",
            "fax_number": "717-273-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELSERRO",
        "first_name": "ASHLEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP026349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ashley.Delserro@longevityhealthplan.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "900 Tuck St",
            "city": "Lebanon",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170427446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.