Active NPI
Ashley Nicole Pane, PA-C
- Physician Assistant
- Lakewood Ranch, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9118645
- Practice address
- 8926 77TH Ter E Unit 101
Lakewood Ranch, FL 34202-6417 - Phone
- (941) 907-0222
- Fax
- (941) 907-0493
- NPI assigned
- Feb 4, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9118645 | FL | Primary |
Addresses
Primary practice location
8926 77TH Ter E Unit 101
Lakewood Ranch, FL 34202-6417
Mailing address
8926 77TH Ter E Unit 892677TH
Lakewood Ranch, FL 34202-6417
Phone (941) 907-0222
Other names 1
- Ashley Nicole Keramas
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | apane@adaltd.medentdirect.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3355 Clark Rd
Suite 102
Sarasota, FL 34231-8400
Phone (941) 921-4131
350 S Indiana Ave
Englewood, FL 34223-3715
Phone (941) 474-8811
8926 77TH Ter E
Unit 101
Lakewood Ranch, FL 34202-6417
Phone (941) 907-0222
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.03 of 100
- Quality
- 93.26
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 90.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9118645 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Dermatology, LLC | Current | Accepting new patients | |
| Skin and Laser Surgery Center | Past | Accepting new patients | |
| Professional Dermatology Care, PC | Past | Accepting new patients | |
| Michelle Pennie MD LLC | Past | Accepting new patients |
Locations
350 S Indiana Ave
Englewood, FL 34223
Phone (941) 474-8811
3355 Clark Rd
Ste 101
Sarasota, FL 34231
Phone (941) 921-4131
5600 Bee Ridge Rd
Ste C
Sarasota, FL 34233
Organizations & group practices 5
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.
-
- Dermatology Physician
- Sarasota, FL
- NPI 1700202298
-
- Dermatology Physician
- Lakewood Ranch, FL
- NPI 1851587794
-
- Dermatology Physician
- Englewood, FL
- NPI 1558620385
-
- Specialist
- Reston, VA
- NPI 1598776817
-
- MOHS-Micrographic Surgery Physician
- Vienna, VA
- NPI 1720277932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1609115161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8926 77TH TER E UNIT 892677TH",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342026417",
"telephone_number": "941-907-0222",
"fax_number": "941-907-0493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8926 77TH TER E UNIT 101",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342026417",
"telephone_number": "941-907-0222",
"fax_number": "941-907-0493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANE",
"first_name": "ASHLEY",
"middle_name": "NICOLE",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-04",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9118645",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "apane@adaltd.medentdirect.com",
"affiliation": "N",
"address_1": "1259 S Cedar Crest Blvd Ste 100",
"city": "Allentown",
"state": "PA",
"country_code": "US",
"postal_code": "181036373",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "KERAMAS",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lakewood Ranch, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.