Individual provider Active NPI

Ashlee Theresa Maixner, FNP-C

  • Family Nurse Practitioner
  • Edison, NJ
National Provider Identifier
1609380104
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00782200 Issued in NJ
Practice address
1813 Oak Tree Rd
Edison, NJ 08820-2740
Phone
(908) 769-9494
NPI assigned
Nov 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X 26NJ00782200 NJ Primary

Addresses

Primary practice location

1813 Oak Tree Rd
Edison, NJ 08820-2740

Mailing address

7 Heritage Lane
Whippany, NJ 07981

Other practice location 1

7 Heritage Lane
Whippany, NJ 07981
Phone (973) 216-1680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20201006001220 NJ Practitioner - Nurse Practitioner 5395164644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karefirst New Jersey PCGroup PAC ID 5799262259, 4 clinicians

Practice addresses (Care Compare)

766 Broad St
Shrewsbury, NJ 07702-4203
Phone (847) 235-6130

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Nutrition and Healing Center Corporation CurrentSince Aug 16, 2024 Accepting new patients
Mindsense Current Accepting new patients
Karefirst New Jersey PC CurrentSince Jan 26, 2026 Accepting new patients
Jersey Medical Care,PC CurrentSince Mar 2, 2020 Accepting new patients

Locations

100 Belchase Dr
Ste 101
Matawan, NJ 07747
Phone (732) 290-1660

242 State Route 79 N
Ste 8
Morganville, NJ 07751
Phone (732) 443-0300

Organizations & group practices 4

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": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609380104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HERITAGE LANE",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "07981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202740",
            "telephone_number": "908-769-9494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Heritage Lane",
            "address_purpose": "LOCATION",
            "city": "Whippany",
            "state": "NJ",
            "postal_code": "07981",
            "country_code": "US",
            "telephone_number": "973-216-1680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIXNER",
        "first_name": "ASHLEE",
        "middle_name": "THERESA",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00782200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.