ASHLEY EAST PA
NPI 1205794443
Internal Medicine - Geriatric Medicine in Port Saint Lucie, FL

Active since January 15, 2026
1617 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952(772) 203-8811 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2026, Mar 4, 2026, Jan 15, 2026 (3 updates tracked since 2026).

About Ashley East Pa NPPES

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

ASHLEY EAST PA (NPI 1205794443) is a healthcare organization registered as a geriatric medicine in Port Saint Lucie, Florida and active in the NPI registry since January 2026. The organization lists Ashley Lynn East, Owner, as its authorized official.

NPPES Registry Identity

NPI1205794443
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameASHLEY EAST PA
Location Address1617 SE PORT ST LUCIE BLVDPort Saint Lucie, FL 34952-5428
Mailing Address1460 Se Portillo RdPort Saint Lucie, FL 34952-4984 · (772) 203-8811 · Fax (877) 860-2786
Organization SubpartNo
Authorized OfficialAshley Lynn EastOwner · (772) 203-8811
Enumeration DateJanuary 15, 2026
Last NPPES UpdateApril 8, 20263 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1205794443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
1617 SE PORT ST LUCIE BLVD, Port Saint Lucie, FL 34952

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley East Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ashley East PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1144791575
1617 SE PORT ST LUCIE BLVD
Port Saint Lucie, FL 34952
(772) 780-1706
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 East PA's NPI number?

The NPI number for Ashley East PA is 1205794443. It was assigned to this organization in the NPPES registry on January 15, 2026.

Where is Ashley East PA located?

Ashley East PA is located at 1617 SE Port St Lucie Blvd, Port Saint Lucie, FL 34952. The listed phone number is (772) 203-8811.

What is Ashley East PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Ashley East PA enrolled in Medicare?

Yes. Ashley East PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ashley East PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ashley East PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ashley East PA was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.