Individual provider Active NPI

Ashley Donelle Ahlquist Kessler, DO

  • Dermatology Physician
  • Lakewood Ranch, FL
National Provider Identifier
1770071441
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS19202 Issued in FL
Practice address
8926 77TH Ter E Unit 101
Lakewood Ranch, FL 34202-6417
Phone
(941) 907-0222
Fax
(941) 907-0493
NPI assigned
Apr 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS19202 FL Primary

Addresses

Primary practice location

8926 77TH Ter E Unit 101
Lakewood Ranch, FL 34202-6417

Mailing address

4938 Windflower Cir
Sarasota, FL 34241-6260

Other names 1

  • Ashley Donelle Ahlquist Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221101003493 FL Practitioner - Dermatology 0547516833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emily F Arsenault MD PAGroup PAC ID 9739106584, 24 clinicians

Practice addresses (Care Compare)

8926 77TH Ter E
Unit 101
Lakewood Ranch, FL 34202-6417
Phone (941) 907-0222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision114
Removal of skin lesions1577
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS19202FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emily F Arsenault MD PA Dermatology CurrentSince Oct 1, 2022 Accepting new patients

Locations

5860 Ranch Lake Blvd
Ste 103
Lakewood Ranch, FL 34202
Phone (941) 907-0222

8926 77th Ter E
Unit 101
Lakewood Ranch, FL 34202
Phone (941) 907-0222

5504 Pinebrook Rd
Ste 101
North Venice, FL 34275

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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 1

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": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1770071441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4938 WINDFLOWER CIR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342416260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8926 77TH TER E UNIT 101",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342026417",
            "telephone_number": "941-907-0222",
            "fax_number": "941-907-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "ASHLEY",
        "middle_name": "DONELLE AHLQUIST",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2022-08-19",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS19202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "AHLQUIST",
            "middle_name": "DONELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.