Individual provider Active NPI

Ashley Ellis Davis, FNP

  • Nurse Practitioner
  • Summerfield, FL
National Provider Identifier
1396230504
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9344296 Issued in FL
Practice address
17823 SE 109TH Ave
Suite 108
Summerfield, FL 34491
Phone
(352) 693-2340
Fax
(352) 693-2345
NPI assigned
Jun 29, 2018
Last updated
May 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9344296 FL Primary

Addresses

Primary practice location

17823 SE 109TH Ave
Suite 108
Summerfield, FL 34491

Mailing address

1640 CR 607E
Bushnell, FL 33513-3558
Phone (352) 457-3932

Other practice location 1

4669 E SR 44 Ste 101
Wildwood, FL 34785-7460
Phone (352) 693-2340

Other practice location 2

910 Old Camp Rd Ste 210
The Villages, FL 32162-5605
Phone (352) 751-3359

Other practice location 3

5575 E Sr 44
Wildwood, FL 34785-8282
Phone (352) 571-4418

Other practice location 4

801 E Dixie Ave Ste 107
Leesburg, FL 34748-7601
Phone (352) 315-0627

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
I20181126000817 FL Practitioner - Nurse Practitioner 2860746179 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
Total Care Plus LLCGroup PAC ID 6800132366, 8 clinicians

Practice addresses (Care Compare)

7284 Broad St
Brooksville, FL 34601-5591
Phone (352) 631-5560

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9344296FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Infusion, LLC CurrentSince Jan 6, 2025 Accepting new patients
Total Care Plus LLC CurrentSince Dec 13, 2024 Accepting new patients

Locations

7284 Broad St
Brooksville, FL 34601
Phone (352) 631-5560

8880 Gladiolus Dr
Ste C200
Fort Myers, FL 33908
Phone (239) 533-5962

1090 NW 8th Ave
Ste 30
Gainesville, FL 32601
Phone (352) 450-8886

3200 SW 34th Ave
Ste 502
Ocala, FL 34474
Phone (352) 237-7355

2055 Wood St
Ste 202
Sarasota, FL 34237
Phone (941) 365-0655

2191 9th Ave N
Ste 105
St Petersburg, FL 33713
Phone (727) 209-1419

4728 N Habana Ave
Ste 101B
Tampa, FL 33614
Phone (813) 775-9997

2789 Brownwood Blvd
The Villages, FL 32163
Phone (352) 450-3080

910 Old Camp Rd
Ste 196
The Villages, FL 32162
Phone (352) 565-5553

Networks

  • Freedom Health HMO Network

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, 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": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1396230504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 CR 607E",
            "city": "BUSHNELL",
            "state": "FL",
            "postal_code": "335133558",
            "telephone_number": "352-457-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17823 SE 109TH AVE",
            "address_2": "SUITE 108",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "34491",
            "telephone_number": "352-693-2340",
            "fax_number": "352-693-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4669 E SR 44 Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wildwood",
            "state": "FL",
            "postal_code": "347857460",
            "country_code": "US",
            "telephone_number": "352-693-2340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 Old Camp Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321625605",
            "country_code": "US",
            "telephone_number": "352-751-3359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5575 E SR 44",
            "address_purpose": "LOCATION",
            "city": "Wildwood",
            "state": "FL",
            "postal_code": "347858282",
            "country_code": "US",
            "telephone_number": "352-571-4418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 E Dixie Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347487601",
            "country_code": "US",
            "telephone_number": "352-315-0627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ASHLEY",
        "middle_name": "ELLIS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9344296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

Verify at the official NPI Registry.