Individual provider Active NPI

Ashley Marie Kelley, NP

  • Family Nurse Practitioner
  • Warwick, RI
National Provider Identifier
1639945363
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN03905 Issued in RI
Practice address
15 Health LN BLDG C
Warwick, RI 02886-2710
Phone
(401) 736-1011
Fax
(401) 921-2950
NPI assigned
Dec 4, 2023
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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 APRN03905 RI Primary

Addresses

Primary practice location

15 Health LN BLDG C
Warwick, RI 02886-2710

Mailing address

455 Toll Gate Rd
PRC and Credentialing
Warwick, RI 02886-2759
Phone (401) 273-0641

Other practice location 1

4519 Post Road
Warwick, RI 02818
Phone (401) 886-7866

Other practice location 2

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 736-1011

Other practice location 3

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4000

Other practice location 4

15 Health Ln Bldg 2-A
Warwick, RI 02886-2710
Phone (401) 736-4691

Other names 1

  • Ashley Marie Qvarnstrom Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20250317003138 RI Practitioner - Nurse Practitioner 1052833225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC CurrentSince Jun 1, 2025 Accepting new patients
Affinity Physicians LLC. CurrentSince Mar 20, 2025 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Apr 7, 2025 Accepting new patients
Lifespan Physician Group, Inc. Nurse Practitioner CurrentSince Apr 7, 2025 Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

4519 Post Rd
East Greenwich, RI 02818
Phone (401) 886-7866

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

593 Eddy St
Providence, RI 02903

593 Eddy St
#6
Providence, RI 02903
Phone (401) 793-9166

593 Eddy St
#7
Providence, RI 02903
Phone (401) 444-3565

15 Health Ln
Bldg 2A
Warwick, RI 02886
Phone (401) 736-4691

15 Health Ln
Bldg C
Warwick, RI 02886
Phone (401) 736-1011

15 Health Ln
Ste 2D
Warwick, RI 02886
Phone (401) 736-4646

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1639945363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "address_2": "PRC AND CREDENTIALING",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-273-0641",
            "fax_number": "401-273-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HEALTH LN BLDG C",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862710",
            "telephone_number": "401-736-1011",
            "fax_number": "401-921-2950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4519 Post Road",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "02818",
            "country_code": "US",
            "telephone_number": "401-886-7866",
            "fax_number": "401-886-7807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Toll Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862759",
            "country_code": "US",
            "telephone_number": "401-736-1011",
            "fax_number": "401-921-2950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-444-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Health Ln Bldg 2-A",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862710",
            "country_code": "US",
            "telephone_number": "401-736-4691",
            "fax_number": "401-889-5082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN03905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "QVARNSTROM",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.