Individual provider Active NPI

Ashley Ann Smith, FNP-C

  • Family Nurse Practitioner
  • Tawas City, MI
National Provider Identifier
1518700244
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704348986 Issued in MI
Practice address
438 W Lake St
Tawas City, MI 48763-8317
Phone
(989) 305-4073
NPI assigned
Jun 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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 4704348986 MI Primary

Addresses

Primary practice location

438 W Lake St
Tawas City, MI 48763-8317

Mailing address

438 W Lake St
Tawas City, MI 48763-8317
Phone (989) 305-4073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250731002589 MI Practitioner - Nurse Practitioner 6901314095 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704348986MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Health Medical Inc CurrentSince Jun 1, 2025 Accepting new patients
Pro-Health Medical FP Past Accepting new patients
Pro-Health Medical, P.C. Past Accepting new patients

Locations

1723 W M 32
Ste B
Gaylord, MI 49735
Phone (248) 238-3666

3003 S Baldwin Rd
Ste B
Lake Orion, MI 48359
Phone (248) 301-1090

1266 Walton Blvd
Rochester Hls, MI 48307
Phone (248) 710-2900

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.

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1518700244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 W LAKE ST",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487638317",
            "telephone_number": "989-305-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 W LAKE ST",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487638317",
            "telephone_number": "989-305-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ASHLEY",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704348986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tawas City, MI

Sources for this page

Verify at the official NPI Registry.