ASHLEY SARAH BANNERMAN-MARTIN CRNP
NPI 1063233864
Nurse Practitioner - Adult Health in Philadelphia, PA
About Ashley Sarah Bannerman-martin Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASHLEY SARAH BANNERMAN-MARTIN CRNP (NPI 1063233864) is an individual adult health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP030774) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ashley Sarah Bannerman-martin Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Ashley Bannerman-martin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- Also billed through NPI 1871981985 (Pennsylvania)
- 3,488 clinicians in this Medicare group
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 171 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PAPenn Presbyterian Medical Center
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ashley Bannerman-martin's NPI number?
The NPI number for Ashley Bannerman-martin is 1063233864. It was assigned to this individual provider in the NPPES registry on October 23, 2024.
Where is Ashley Bannerman-martin located?
Ashley Bannerman-martin practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-4000.
What is Ashley Bannerman-martin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Ashley Bannerman-martin enrolled in Medicare?
Yes. Ashley Bannerman-martin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ashley Bannerman-martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Bannerman-martin reassigns Medicare benefits to 2 organizations: University Of Penn-Medical Group (Philadelphia, PA) and Clinical Health Care Associates Of New Jersey, PC (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashley Bannerman-martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ashley Bannerman-martin affiliated with any hospitals?
According to CMS data, Ashley Bannerman-martin is affiliated with Hospital Of Univ Of Pennsylvania and Penn Presbyterian Medical Center.
When was this NPI record last updated?
The NPPES record for Ashley Bannerman-martin was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ashley Sarah Bannerman-Martin, CRNP · NPI 1063233864
Adult Health physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 23, 2024.
## Identity
- **NPI:** 1063233864 (Entity type: Individual)
- **Enumerated:** October 23, 2024
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** SP030774 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, Philadelphia, PA 19104
- **Phone:** (215) 662-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Penn-Medical Group (NPI 1073902169, Philadelphia, PA); Clinical Health Care Associates Of New Jersey, PC (NPI 1902844806, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063233864) · Data from the CMS NPPES public registry.