Individual provider Active NPI

Ashley Diane Cremisio, FNP-BC

  • Family Nurse Practitioner
  • Fredericksbrg, VA
National Provider Identifier
1811536543
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178636 Issued in VA
Practice address
207 Kings Hwy
Fredericksbrg, VA 22405-2693
Phone
(540) 216-2183
Fax
(888) 375-1486
NPI assigned
Dec 28, 2019
Last updated
Dec 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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 0024178636 VA Primary

Addresses

Primary practice location

207 Kings Hwy
Fredericksbrg, VA 22405-2693

Mailing address

207 Kings Hwy Ste 103
Fredericksbrg, VA 22405-2693
Phone (540) 216-2183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20210114001800 VA Practitioner - Nurse Practitioner 6204255607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ferry Farm Health and WellnessGroup PAC ID 5092186627, 3 clinicians

Practice addresses (Care Compare)

207 Kings Hwy
Suite 103
Fredericksburg, VA 22405-2693
Phone (540) 216-2183

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ferry Farm Health and Wellness CurrentSince Oct 19, 2022 Accepting new patients

Locations

207 Kings Hwy
Ste 103
Fredericksburg, VA 22405
Phone (540) 216-2183

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1577491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1811536543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 KINGS HWY STE 103",
            "city": "FREDERICKSBRG",
            "state": "VA",
            "postal_code": "224052693",
            "telephone_number": "540-216-2183",
            "fax_number": "888-375-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 KINGS HWY",
            "city": "FREDERICKSBRG",
            "state": "VA",
            "postal_code": "224052693",
            "telephone_number": "540-216-2183",
            "fax_number": "888-375-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREMISIO",
        "first_name": "ASHLEY",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksbrg, VA

Sources for this page

Verify at the official NPI Registry.