Individual provider Active NPI

Ashley Fisher Roussell, APRN

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1326502600
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11000476 Issued in FL
Practice address
13241 Bartram Park Blvd Unit 505
Jacksonville, FL 32258-5213
Phone
(904) 701-3610
NPI assigned
Jan 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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 APRN11000476 FL
Nurse Practitioner 363L00000X APRN11000476 FL Primary

Addresses

Primary practice location

13241 Bartram Park Blvd Unit 505
Jacksonville, FL 32258-5213

Mailing address

PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-1032

Other identifiers 1

IdentifierTypeStateIssuer
X2US3OtherFLBCBS

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
I20200507001032 FL Practitioner - Nurse Practitioner 5991136913 Reassigns benefits to 2 organizations

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
Nola Care, LLCGroup PAC ID 0446795850, 2 clinicians

Practice addresses (Care Compare)

13241 Bartram Park Blvd
Unit 505
Jacksonville, FL 32258-5213
Phone (904) 701-3610

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11000476FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nola Care, LLC Family CurrentSince Feb 14, 2024 Accepting new patients
Baptist Primary Care Inc CurrentSince Nov 1, 2021 Accepting new patients
Baptist Primary Care Inc Nurse Practitioner CurrentSince Nov 1, 2021 Accepting new patients
Posh Wellness Nurse Practitioner Current Accepting new patients

Locations

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

3101 University Blvd S
Ste 102
Jacksonville, FL 32216
Phone (904) 737-1171

13241 Bartram Park Blvd
Unit 505
Jacksonville, FL 32258
Phone (904) 701-3610

Interoperability endpoints

  • Direct secure messaging: ashley.roussell.1@30134.direct.athenahealth.com

Organizations & group practices 4

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": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1326502600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-1032",
            "fax_number": "904-376-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 505",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585213",
            "telephone_number": "904-701-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSELL",
        "first_name": "ASHLEY",
        "middle_name": "FISHER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000476",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11000476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "X2US3",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.