Individual provider Active NPI

Ashley Nicole Rebaza, FNP-C

  • Family Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1306674858
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1086666 Issued in TX
Practice address
4601 Buffalo Gap Rd Ste C1
Abilene, TX 79606-3363
Phone
(325) 488-4583
Fax
(855) 220-9655
NPI assigned
Jul 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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 1086666 TX Primary

Addresses

Primary practice location

4601 Buffalo Gap Rd Ste C1
Abilene, TX 79606-3363

Mailing address

4601 Buffalo Gap Rd Ste C1
Abilene, TX 79606-3363
Phone (325) 488-4583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250131002354 TX Practitioner - Nurse Practitioner 5799214904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Wiseman Family Practice PLLCGroup PAC ID 9739491564, 34 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

4601 Buffalo Gap Rd
Suite C1
Abilene, TX 79606-3363
Phone (325) 488-4583

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1086666TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wiseman Family Practice PLLC CurrentSince Feb 3, 2025 Accepting new patients

Locations

4601 Buffalo Gap Rd
Ste C1
Abilene, TX 79606
Phone (325) 261-1640

2500 S Lakeline Blvd
Ste 100
Cedar Park, TX 78613
Phone (512) 345-8970

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 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": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1306674858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 BUFFALO GAP RD STE C1",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796063363",
            "telephone_number": "325-488-4583",
            "fax_number": "855-220-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 BUFFALO GAP RD STE C1",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796063363",
            "telephone_number": "325-488-4583",
            "fax_number": "855-220-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBAZA",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1086666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.