Individual provider Active NPI

Ashley Renner

  • Family Nurse Practitioner
  • Berryville, VA
National Provider Identifier
1457987489
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179016 Issued in VA
Practice address
115 Church Street
Berryville, VA 22611
Phone
(540) 955-4811
Fax
(540) 955-0976
NPI assigned
Mar 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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 0024179016 VA Primary

Addresses

Primary practice location

115 Church Street
Berryville, VA 22611

Mailing address

115 Church St
Berryville, VA 22611
Phone (540) 955-4811

Other practice location 1

3300 Gallows Rd
Falls Church, VA 22042-3300
Phone (703) 776-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200803000569 DC Practitioner - Nurse Practitioner 6608291018 Reassigns benefits to 1 organization
I20200808000137 VA Practitioner - Nurse Practitioner 6608291018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Physician Enterprise IncGroup PAC ID 9931268091, 176 clinicians
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

115 S Church St
Berryville, VA 22611-1369
Phone (540) 955-4811

3300 Gallows Rd
Falls Church, VA 22042-3307

Hospital & facility affiliations

  • Valley Health Home Health Home health agency, Winchester, VA, CCN 497058
  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005
  • Warren Memorial Hospital Hospital, Front Royal, VA, CCN 490033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024179016VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jul 12, 2020 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Mar 25, 2024 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Valley Physician Enterprise, Inc Current Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Mar 25, 2024 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients

Locations

115 S Church St
Berryville, VA 22611
Phone (540) 955-0976

322 N Buckmarsh St
Ste D
Berryville, VA 22611
Phone (540) 277-8099

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Interoperability endpoints

  • Direct secure messaging: arenner1206325@valleyhealth.direct-ci.com

Organizations & group practices 6

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 4

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": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1457987489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CHURCH ST",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "22611",
            "telephone_number": "540-955-4811",
            "fax_number": "540-955-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CHURCH STREET",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "22611",
            "telephone_number": "540-955-4811",
            "fax_number": "540-955-0976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423300",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENNER",
        "first_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-21",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berryville, VA

Sources for this page

Verify at the official NPI Registry.