Individual provider Active NPI

Ashley Dianne Degrush, FNP-BC

  • Family Nurse Practitioner
  • Centennial, CO
National Provider Identifier
1912371964
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0991940 Issued in CO
Practice address
7173 S Havana St Ste 100-81
Centennial, CO 80112-3891
Phone
(303) 718-6899
Fax
(303) 374-2518
NPI assigned
Nov 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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 0991940 CO Primary

Addresses

Primary practice location

7173 S Havana St Ste 100-81
Centennial, CO 80112-3891

Mailing address

7173 S Havana St Ste 100-81
Centennial, CO 80112-3891
Phone (303) 718-6899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20180226001400 CO Order and Referring Only - Family PracticePractitioner - Family Practice 0749541266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0991940COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DTC Family Health and Walk-in L L C PastSince Jul 1, 2002 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2945/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": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1912371964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7173 S HAVANA ST STE 100-81",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123891",
            "telephone_number": "303-718-6899",
            "fax_number": "303-374-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7173 S HAVANA ST STE 100-81",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123891",
            "telephone_number": "303-718-6899",
            "fax_number": "303-374-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRUSH",
        "first_name": "ASHLEY",
        "middle_name": "DIANNE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0991940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.