Ashley Sevenbergen

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

28170735A Issued in IN

Practice address

300 E Boyd Ave
Suite 250
Greenfield, IN 46140-2834

Phone

(317) 467-4500

Fax

(317) 477-6321

NPI assigned

Jul 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Hancock Physician Network, LLC

  • Family Medicine Physician
  • Greenfield, IN
  • NPI 1609806470
  Medicare reassignment
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1518222553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E BOYD AVE",
            "address_2": "SUITE 250",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BOYD AVE",
            "address_2": "SUITE 250",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402834",
            "telephone_number": "317-467-4500",
            "fax_number": "317-477-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVENBERGEN",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "28170735A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daija Scurlock, RBT
• Carly Seaton
• Emily Beth Sego, DNP, RN, NEA-BC
• Erica Michelle Seibert, AUD
• Derek Seiler, MD
• Samantha Holmes Seward, MD
• Pia Shabazz
• Gary C Sharp, M.D.
• Cheryl Shaw, RD
• Corri Shepherd

• Pediatric Nurse Practitioner in Greenfield, IN
• Providers in Greenfield, IN by specialty
• Pediatric Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.