Active NPI
Ashley Fender, APRN
- Nurse Practitioner
- Orange City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11022190
- Practice address
- 2555 S Volusia Ave
Orange City, FL 32763-9116 - Phone
- (386) 774-0401
- NPI assigned
- Oct 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11022190 | FL | Primary |
Addresses
Primary practice location
2555 S Volusia Ave
Orange City, FL 32763-9116
Mailing address
2105 S Park Ave
Sanford, FL 32771-4349
Phone (407) 878-0181
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
317 6TH Ave
Suite 400
Des Moines, IA 50309-4037
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11022190 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Care Medical Group, LLC | Current | Accepting new patients | |
| Magnus Medical Center Inc | Current | Accepting new patients | |
| Central Florida Medical Associates, Inc | Current | Accepting new patients | |
| Openloop Healthcare Partners PC | Nurse Practitioner | Current | Accepting new patients |
Locations
3707 E Southern Ave
#1
Mesa, AZ 85206
Phone (424) 387-6806
2105 S Park Ave
Sanford, FL 32771
Phone (407) 330-9082
8270 Woodland Center Blvd
Tampa, FL 33614
Phone (305) 449-9219
317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097
500 Marquette Ave NW
Albuquerque, NM 87102
Phone (505) 429-5750
1240 Winnowing Way
Unit 102
Mt Pleasant, SC 29466
Phone (828) 396-5634
4500 Mercantile Plaza Dr
Fort Worth, TX 76137
Phone (214) 635-6412
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 and National Provider Directory roles.
-
- General Practice Physician
- Des Moines, IA
- NPI 1245820661
FL, Nurse Practitioner
-
- Internal Medicine Physician
- Orange City, FL
- NPI 1528111085
-
- Internal Medicine Physician
- Sanford, FL
- NPI 1881285799
-
- Clinic/Center
- Sanford, FL
- NPI 1770598252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1437874120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 S PARK AVE",
"city": "SANFORD",
"state": "FL",
"postal_code": "327714349",
"telephone_number": "407-878-0181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 S VOLUSIA AVE",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327639116",
"telephone_number": "386-774-0401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENDER",
"first_name": "ASHLEY",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-05",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11022190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.