Individual provider Active NPI

Ashley Keen Gavelek, FNP-C

  • Family Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1770082190
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11039597 Issued in FL
Practice address
1895 Kingsley Ave Ste 903
Orange Park, FL 32073
Phone
(904) 644-8353
NPI assigned
Feb 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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 RN220556 GA
Family Nurse Practitioner 363LF0000X APRN11039597 FL Primary

Addresses

Primary practice location

1895 Kingsley Ave Ste 903
Orange Park, FL 32073

Mailing address

1895 Kingsley Ave Ste 903
Orange Park, FL 32073-4410
Phone (904) 644-8353

Other practice location 1

2402 Osler Ct
Albany, GA 31707-0205
Phone (229) 438-3302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180723000770 GA Practitioner - Nurse Practitioner 7214284207 Reassigns benefits to 3 organizations
I20250805002128 FL Practitioner - Nurse Practitioner 7214284207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent's Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

1801 Barrs St
Suite 120
Jacksonville, FL 32204-4738
Phone (904) 308-2006

1895 Kingsley Ave
Suite 903
Orange Park, FL 32073-4410
Phone (904) 644-8353

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Aug 11, 2025 Accepting new patients
Albany Urology Surgery Center LLC CurrentSince Aug 1, 2024 Accepting new patients
Albany Urology Clinic CurrentSince Aug 16, 2024 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Aug 11, 2025 Accepting new patients

Locations

1895 Kingsley Ave
Ste 903
Orange Park, FL 32073
Phone (904) 276-1663

2400 Osler Ct
Albany, GA 31707
Phone (229) 449-1676

1950 Palmyra Rd
Albany, GA 31701
Phone (229) 883-1503

Interoperability endpoints

  • Direct secure messaging: ashley.gavelek.1@8967.direct.athenahealth.com
  • Direct secure messaging: ashleygavelek@aucsc.allscriptsdirect.net

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 7

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": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1770082190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 KINGSLEY AVE STE 903",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734410",
            "telephone_number": "904-644-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 KINGSLEY AVE STE 903",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "32073",
            "telephone_number": "904-644-8353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2402 Osler Ct",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317070205",
            "country_code": "US",
            "telephone_number": "229-438-3302",
            "fax_number": "229-438-3384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAVELEK",
        "first_name": "ASHLEY",
        "middle_name": "KEEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN220556",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11039597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.