MRS. ASHLEY MARIE FUGATE FNP-BC
NPI 1104281583
Nurse Practitioner - Family in Niles, MI

Q: What is Ashley Fugate's NPI number?

The NPI number for Ashley Fugate is 1104281583. It was assigned to this individual provider in the NPPES registry on December 29, 2015. The provider is also known as Mrs. Ashely Thiele.

Q: What is Ashley Fugate's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ashley Fugate was last updated on June 20, 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.

Active since December 29, 2015PECOS EnrolledAccepts Medicare Assignment

2002 S 11TH ST, NILES, MI 49120(269) 687-0200 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2024, Nov 1, 2023, Jan 18, 2023 and 7 more (10 updates tracked since 2015).

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About Mrs. Ashley Marie Fugate Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ASHLEY MARIE FUGATE FNP-BC (NPI 1104281583) is an individual family provider in Niles, Michigan, licensed in Michigan (4704268183) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and maintains a secondary practice location in Battle Creek.

NPPES Registry Identity

NPI1104281583

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. ASHLEY MARIE FUGATECredential: FNP-BC

Location Address2002 S 11TH STNiles, MI 49120-4074

Mailing Address2002 S 11th StNiles, MI 49120-4074

Phone(269) 687-0200

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateDecember 29, 2015

Last NPPES UpdateJune 20, 202410 updates tracked since enumeration

NPPES CertifiedJune 20, 2024

✔ NPI 1104281583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in MI · 4704268183✔ Licensed in IN · 71006097A

Also ListedInternal MedicineTaxonomy 207R00000X · License 28181495A (IN)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704268183 (MI), 71006097A (IN)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 71006097A (IN)

2002 S 11TH ST, Niles, MI 49120

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Other Names 1

Former Name (1)Mrs. Ashely Thiele

Secondary Practice Location 1

Location 1181 Emmett St WBattle Creek, MI 49037-2963 · Phone (269) 965-8866

Other Identifiers 1

Medicaid201368160IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Ashley Marie Fugate Fnp-bc 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.

PECOS PAC ID6002115045

PECOS Enrollment IDI20230221000406

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230021

Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County

Emergency services Birthing friendly

Corewell Health Watervliet Hospital

Acute Care Hospitals · Watervliet, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number230078

Location400 Medical Park DrWatervliet, MI 49098 · Berrien County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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