Individual provider Active NPI

Ashley Marie Belville, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1538864004
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11025574 Issued in FL
Practice address
6400 Edgelake Dr
Sarasota, FL 34240-8813
Phone
(941) 921-8600
NPI assigned
Apr 3, 2023
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11025574 FL Primary

Addresses

Primary practice location

6400 Edgelake Dr
Sarasota, FL 34240-8813

Mailing address

4056 Pinstar Ter
North Port, FL 34287-3239
Phone (419) 234-5807

Other names 1

  • Ashley Marie Bryan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO2 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
I20230519001528 FL Practitioner - Nurse Practitioner 7113383944 Reassigns benefits to 1 organization
I20260530000546 CO Practitioner - Nurse Practitioner 7113383944 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
Group practices
Abmayor LLCGroup PAC ID 5890187454, 5 clinicians

Practice addresses (Care Compare)

6400 Edgelake Dr
Sarasota, FL 34240-8813
Phone (618) 528-1244

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abmayor LLC CurrentSince May 1, 2023 Accepting new patients
Uhs of Denver, Inc. Past Accepting new patients

Locations

6150 Edgelake Dr
Sarasota, FL 34240
Phone (217) 369-4168

6400 Edgelake Dr
Sarasota, FL 34240
Phone (941) 921-8600

Organizations & group practices 2

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": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1538864004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4056 PINSTAR TER",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342873239",
            "telephone_number": "419-234-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 EDGELAKE DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342408813",
            "telephone_number": "941-921-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELVILLE",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11025574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BRYAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.