Active NPI
Ashley Renee Ellenberger, NP
- Family Nurse Practitioner
- Modesto, CA
National Provider Identifier
1962019877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10049904
- Practice address
- 2401 E Orangeburg Ave Ste 330
Modesto, CA 95355-3396 - Phone
- (209) 724-6000
- NPI assigned
- Sep 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 222614-30 | WI | |
| Family Nurse Practitioner | 363LF0000X | 10049904 | OR | Primary |
| Family Nurse Practitioner | 363LF0000X | 95033443 | CA |
Addresses
Primary practice location
2401 E Orangeburg Ave Ste 330
Modesto, CA 95355-3396
Mailing address
W233N8317 Seven Iron Cir
Sussex, WI 53089-1560
Phone (414) 779-6757
Other practice location 1
530 NW 27th St
Corvallis, OR 97330-5223
Phone (541) 766-6835
Other practice location 2
W233N8317 Seven Iron Cir
Sussex, WI 53089-1560
Phone (414) 779-6757
Other names 1
- Ms. Ashley R Chlupacek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95033443 | CA | MD | Family Nurse Practitioner |
| 222614-30 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Valley Health Centers | Current | Accepting new patients |
Locations
2401 E Orangeburg Ave
Ste 330
Modesto, CA 95355
Phone (209) 383-5871
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.
-
- PACE Provider Organization
- Modesto, CA
- NPI 1598302655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1962019877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W233N8317 SEVEN IRON CIR",
"city": "SUSSEX",
"state": "WI",
"postal_code": "530891560",
"telephone_number": "414-779-6757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 E ORANGEBURG AVE STE 330",
"city": "MODESTO",
"state": "CA",
"postal_code": "953553396",
"telephone_number": "209-724-6000"
}
],
"practiceLocations": [
{
"address_1": "530 NW 27th St",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973305223",
"country_code": "US",
"telephone_number": "541-766-6835",
"fax_number": "541-766-6186",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "W233N8317 Seven Iron Cir",
"address_purpose": "LOCATION",
"city": "Sussex",
"state": "WI",
"postal_code": "530891560",
"country_code": "US",
"telephone_number": "414-779-6757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLENBERGER",
"first_name": "ASHLEY",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-24",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "222614-30",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10049904",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95033443",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "CHLUPACEK",
"middle_name": "R",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.