Individual provider Active NPI

Ashley Renee Fidler, PA

  • Physician Assistant
  • Fort Myers, FL
National Provider Identifier
1508582933
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9116656 Issued in FL
Practice address
6201 Alliance LN Ste 100
Fort Myers, FL 33912-7164
Phone
(239) 343-1176
Fax
(239) 468-7947
NPI assigned
Oct 17, 2022
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9116656 FL Primary
Surgical Physician Assistant 363AS0400X PA9116656 FL
Surgery Physician 208600000X PA9116656 FL

Addresses

Primary practice location

6201 Alliance LN Ste 100
Fort Myers, FL 33912-7164

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-1176

Other practice location 1

6150 Diamond Centre Ct Ste 1300
Fort Myers, FL 33912-4367
Phone (239) 344-9786

Other practice location 2

6201 Alliance Ln Ste 200
Fort Myers, FL 33912-7165
Phone (239) 343-1176

Other practice location 3

13685 Doctors Way Ste 100
Fort Myers, FL 33912-4337
Phone (239) 343-1176

Other identifiers 1

IdentifierTypeStateIssuer
116383700MedicaidFL

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
I20221201003276 FL Practitioner - Physician Assistant 0042688616 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900

13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-2606

6201 Alliance LN
Suite 100
Fort Myers, FL 33912-7164
Phone (239) 343-1176

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9116656FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Memorial Health System CurrentSince Aug 1, 2023 Accepting new patients
Lee Health System Inc CurrentSince Nov 1, 2024 Accepting new patients
Lee Memorial Health System CurrentSince Aug 1, 2023 Accepting new patients
Lee Health System Inc CurrentSince Nov 1, 2024 Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

13685 Doctors Way
Ste 100
Fort Myers, FL 33912
Phone (239) 343-1612

6201 Alliance Ln
Ste 100
Fort Myers, FL 33912
Phone (239) 343-1176

6201 Alliance Ln
Ste 200
Fort Myers, FL 33912
Phone (239) 343-1176

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: afidler309553@direct.leememorial.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1508582933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-1176",
            "fax_number": "239-343-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 ALLIANCE LN STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127164",
            "telephone_number": "239-343-1176",
            "fax_number": "239-468-7947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6150 Diamond Centre Ct Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339124367",
            "country_code": "US",
            "telephone_number": "239-344-9786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6201 Alliance Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339127165",
            "country_code": "US",
            "telephone_number": "239-343-1176",
            "fax_number": "239-468-7947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13685 Doctors Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339124337",
            "country_code": "US",
            "telephone_number": "239-343-1176",
            "fax_number": "239-343-4238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIDLER",
        "first_name": "ASHLEY",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116656",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9116656",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "PA9116656",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116383700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.