Individual provider Active NPI

Ashley Anne Fellows, FNP

  • Family Nurse Practitioner
  • South San Francisco, CA
National Provider Identifier
1750905691
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11013848 Issued in FL
Practice address
611 Gateway Blvd Ste 120
South San Francisco, CA 94080-7066
Phone
(650) 761-4056
NPI assigned
Jun 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11013848 FL Primary
Family Nurse Practitioner 363LF0000X 95024633 CA

Addresses

Primary practice location

611 Gateway Blvd Ste 120
South San Francisco, CA 94080-7066

Mailing address

3409 Hollyhock Way
Tampa, FL 33618-2154

Other practice location 1

121 W 36th St # 237
New York, NY 10018-3612
Phone (650) 761-4056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20200916001034 NY Practitioner - Nurse Practitioner 6800214230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tele-Medicine Medical Practice of New York, P.C.Group PAC ID 5991296519, 5 clinicians
Dreem Sleep Clinic of CaliforniaGroup PAC ID 1456744598, 32 clinicians

Practice addresses (Care Compare)

121 W 36TH St
Suite 237
New York, NY 10018-3612
Phone (650) 761-4056

3409 Hollyhock Way
Tampa, FL 33618-2154
Phone (650) 461-4056

611 Gateway Blvd
Suite 120
South San Francisco, CA 94080-7066
Phone (650) 761-4056

Merit-based Incentive Payment System (MIPS)

Final score
88 of 100Reported as group
Quality
74.04
Promoting interoperability
100
Improvement activities
40
Cost
70.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95024633CAMDFamily Nurse Practitioner
APRN11013848FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester Neurosurgery Group CurrentSince Oct 5, 2020 Accepting new patients
Dreem Sleep Clinic of California CurrentSince Jun 2, 2026 Accepting new patients

Locations

611 Gateway Blvd
Ste 120
South San Francisco, CA 94080
Phone (650) 480-6023

84 Canal St
Ste 8
Big Flats, NY 14814
Phone (607) 301-4141

121 W 36th St
#237
New York, NY 10018
Phone (650) 761-4056

1445 Portland Ave
Ste 305
Rochester, NY 14621
Phone (585) 275-8344

Organizations & group practices 3

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": "1591401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1750905691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 HOLLYHOCK WAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 GATEWAY BLVD STE 120",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940807066",
            "telephone_number": "650-761-4056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 W 36th St # 237",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100183612",
            "country_code": "US",
            "telephone_number": "650-761-4056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELLOWS",
        "first_name": "ASHLEY",
        "middle_name": "ANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-06",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11013848",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024633",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

Verify at the official NPI Registry.