Individual provider Active NPI

Ashley Fae George, CRNP

  • Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1730882887
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R206446 Issued in MD
Practice address
900 S Caton Ave
Baltimore, MD 21229-5201
Phone
(667) 234-6000
NPI assigned
Mar 27, 2023
Last updated
Apr 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R206446 MD Primary

Addresses

Primary practice location

900 S Caton Ave
Baltimore, MD 21229-5201

Mailing address

118 Kilby PT
Queenstown, MD 21658-1149
Phone (410) 271-1678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20230831003195 MD Practitioner - Nurse Practitioner 7214390640 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1419 Forest Dr
Annapolis, MD 21403-1482
Phone (410) 990-0050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R206446MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Community Clinics, LLC CurrentSince Mar 9, 2025 Accepting new patients
Luminis Health Community Clinics, LLC CurrentSince Mar 9, 2025 Accepting new patients
Cep America LLC CurrentSince Jul 1, 2023 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Mar 9, 2025 Accepting new patients
Cep America LLC CurrentSince Jul 1, 2023 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Mar 9, 2025 Accepting new patients
Luminis Health Medical Group, LLC Past Accepting new patients
Luminis Health Medical Group, LLC Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1419 Forest Dr
Annapolis, MD 21403
Phone (410) 990-0050

2002 Medical Pkwy
Ste 670
Annapolis, MD 21401
Phone (410) 481-1150

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270

Organizations & group practices 9

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": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1730882887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 KILBY PT",
            "city": "QUEENSTOWN",
            "state": "MD",
            "postal_code": "216581149",
            "telephone_number": "410-271-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S CATON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "667-234-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "ASHLEY",
        "middle_name": "FAE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R206446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.