Individual provider Active NPI

Ashley Donaher, FNP-C

  • Primary Care Nurse Practitioner
  • Cambridge, MA
National Provider Identifier
1518691419
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN2308876 Issued in MA
Practice address
725 Concord Ave Ste 4100
Cambridge, MA 02138-1041
Phone
(614) 864-8822
NPI assigned
Jul 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2308876 MA
Family Nurse Practitioner 363LF0000X RN2308876 MA
Registered Nurse 163W00000X RN2308876 MA
Primary Care Nurse Practitioner 363LP2300X RN2308876 MA Primary

Addresses

Primary practice location

725 Concord Ave Ste 4100
Cambridge, MA 02138-1041

Mailing address

330 Mount Auburn St
Parsons 2
Cambridge, MA 02138
Phone (617) 499-5083

Other names 1

  • Ashley Wiseman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20221221001723 MA Practitioner - Nurse Practitioner 7214307941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Auburn Professional Services IncGroup PAC ID 6103725031, 229 clinicians

Practice addresses (Care Compare)

480 Pleasant St
Suite A200
Watertown, MA 02472-2462
Phone (617) 356-8282

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Auburn Professional Services Inc CurrentSince Feb 1, 2024 Accepting new patients
Mt Auburn Professional Services CurrentSince Feb 1, 2024 Accepting new patients
Caritas Medical Group, Inc. PastSince Jul 1, 2022 Accepting new patients

Locations

725 Concord Ave
Ste 4100
Cambridge, MA 02138
Phone (617) 864-8822

330 Mount Auburn St
#2
Cambridge, MA 02138
Phone (617) 499-5026

300 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5025

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

29 Crafts St
Ste 400
Newton, MA 02458
Phone (617) 964-7530

480 Pleasant St
Ste A200
Watertown, MA 02472
Phone (617) 356-8282

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 1

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": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1518691419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MOUNT AUBURN ST",
            "address_2": "PARSONS 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02138",
            "telephone_number": "617-499-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 CONCORD AVE STE 4100",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381041",
            "telephone_number": "614-864-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHER",
        "first_name": "ASHLEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2308876",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2308876",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2308876",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2308876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "WISEMAN",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.