Individual provider Active NPI

Ashley Ann Schneider, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Troy, MI
National Provider Identifier
1881431823
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704341789 Issued in MI
Practice address
200 Kirts Blvd Ste C
Troy, MI 48084-5286
Phone
(248) 817-4140
NPI assigned
Jul 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4704341789 MI
Nurse Practitioner 363L00000X 4704341789 MI Primary

Addresses

Primary practice location

200 Kirts Blvd Ste C
Troy, MI 48084-5286

Mailing address

2252 Arrow Head Dr
Lapeer, MI 48446-8000
Phone (810) 515-5803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20251016001916 MI Practitioner - Nurse Practitioner 0547757106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

387 N State Rd
Suite B
Otisville, MI 48463-9503

387 N State Rd B
Otisville, MI 48463-9503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
4704341789MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mohamed Ally Health Plaza PLLC CurrentSince Dec 10, 2025 Accepting new patients

Locations

387 N State Rd
Ste B
Otisville, MI 48463
Phone (810) 631-0355

387 N State Rd
Ste A
Otisville, MI 48463
Phone (810) 631-4060

Interoperability endpoints

  • Direct secure messaging: ashley.schneider.1@15223.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15223/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1881431823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 ARROW HEAD DR",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484468000",
            "telephone_number": "810-515-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KIRTS BLVD STE C",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845286",
            "telephone_number": "248-817-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "ASHLEY",
        "middle_name": "ANN",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4704341789",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704341789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.