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ASHLEY TAYLOR FENNELL OD
NPI 1235988098
Optometrist in Grove City, PA

Active since May 15, 2024PECOS EnrolledAccepts Medicare Assignment
808 W MAIN ST, GROVE CITY, PA 16127(724) 458-8533 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ashley Taylor Fennell Od NPPES

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

ASHLEY TAYLOR FENNELL OD (NPI 1235988098) is an individual optometrist in Grove City, Pennsylvania, licensed in Pennsylvania (OEG004146) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2024).

NPPES Registry Identity

NPI1235988098
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameASHLEY TAYLOR FENNELLCredential: OD
Location Address808 W MAIN STGrove City, PA 16127-1114
Mailing Address1014 Branchton RdBoyers, PA 16020-1406 · (724) 996-7713
Phone(724) 458-8533
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 2024
Enumeration DateMay 15, 2024
Last NPPES UpdateMay 30, 2024
NPPES CertifiedMay 30, 2024
✔ NPI 1235988098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in PA · OEG004146
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
808 W MAIN ST, Grove City, PA 16127
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Accepted Insurance

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

Ashley Taylor Fennell Od 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 ID4183168321
PECOS Enrollment IDI20240628002907
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
25 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services14 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16127 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAN SODERBERG OD LLC
Optometrist
808 W MAIN ST
GROVE CITY, PA 16127
Mercer County (724) 458-8533
JEANNETTE E. DRAHUSCHAK
Public Health or Welfare
808 W MAIN ST
GROVE CITY, PA 16127
Mercer County (724) 458-8533
AEG PENNSYLVANIA PROFESSIONAL, INC
Optometrist
808 W MAIN ST
GROVE CITY, PA 16127
Mercer County (724) 458-8533

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 Fennell's NPI number?

The NPI number for Ashley Fennell is 1235988098. It was assigned to this individual provider in the NPPES registry on May 15, 2024.

Where is Ashley Fennell located?

Ashley Fennell practices at 808 W Main St, Grove City, PA 16127. The listed phone number is (724) 458-8533.

What is Ashley Fennell's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Ashley Fennell enrolled in Medicare?

Yes. Ashley Fennell 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.

What insurance does Ashley Fennell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list Ashley Fennell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ashley Fennell was last updated on May 30, 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.