Individual provider Active NPI

Ashlee Myers, APRN

  • Family Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1760080766
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11009439 Issued in FL
Practice address
579 NW Lake Whitney PL Ste 101
Port St Lucie, FL 34986-1622
Phone
(772) 249-0260
NPI assigned
Oct 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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 APRN11009439 FL Primary

Addresses

Primary practice location

579 NW Lake Whitney PL Ste 101
Port St Lucie, FL 34986-1622

Mailing address

1089 SW Lighthouse Dr
Palm City, FL 34990-4513
Phone (772) 486-8911

Other identifiers 1

IdentifierTypeStateIssuer
APRN11009439OtherFLAPRN LICENSURE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201123000784 FL Practitioner - Nurse Practitioner 9234540386 Reassigns benefits to 2 organizations

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
Elite Hospitalists LLCGroup PAC ID 0840559076, 2 clinicians
Michael a Blum DO PAGroup PAC ID 2466621370, 4 clinicians

Practice addresses (Care Compare)

579 NW Lake Whitney PL
Suite 101
Port St Lucie, FL 34986-1622
Phone (772) 249-0260

Hospital & facility affiliations

  • Concierge Home Care Home health agency, Port Saint Lucie, FL, CCN 687163
  • Trilogy Home Healthcare Home health agency, Port Saint Lucie, FL, CCN 109270
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Michael a Blum DO PA CurrentSince Nov 2, 2020 Accepting new patients
Elite Hospitalists, LLC CurrentSince Nov 2, 2020 Accepting new patients

Locations

579 NW Lake Whitney Pl
Ste 101
Port St Lucie, FL 34986
Phone (772) 203-9356

1111 SE Federal Hwy
Ste 330
Stuart, FL 34994
Phone (561) 556-7248

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJGCDA

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1760080766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 SW LIGHTHOUSE DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349904513",
            "telephone_number": "772-486-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 NW LAKE WHITNEY PL STE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861622",
            "telephone_number": "772-249-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "ASHLEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11009439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSURE",
            "identifier": "APRN11009439",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.