ASHLEY LYNN PORTAL
NPI 1205613650
Nurse Practitioner - Family in Wethersfield, CT

Q: What is Ashley Portal's NPI number?

The NPI number for Ashley Portal is 1205613650. It was assigned to this individual provider in the NPPES registry on September 11, 2023.

Q: What is Ashley Portal'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 Portal was last updated on September 26, 2023. 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 September 11, 2023PECOS EnrolledAccepts Medicare Assignment

1025 SILAS DEANE HWY, WETHERSFIELD, CT 06109(860) 696-2400(860) 696-2415 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Ashley Lynn Portal NPPES

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

ASHLEY LYNN PORTAL (NPI 1205613650) is an individual family provider in Wethersfield, Connecticut, licensed in Connecticut (12359) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1205613650

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameASHLEY LYNN PORTAL

Location Address1025 SILAS DEANE HWYWethersfield, CT 06109-4223

Mailing Address1290 Silas Deane Hwy, Hhc-cvoWethersfield, CT 06109-4337

Phone(860) 696-2400

Fax(860) 696-2415

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 11, 2023

Last NPPES UpdateSeptember 26, 2023

NPPES CertifiedSeptember 25, 2023

✔ NPI 1205613650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in CT · 12359

1025 SILAS DEANE HWY, Wethersfield, CT 06109

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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

Ashley Lynn Portal 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 ID2163877481

PECOS Enrollment IDI20231006000226

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06109 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

NICOLE L HETTRICH PA

Physician Assistant (Medical)