ASHLEY MARIE SUDORE
NPI 1316786171
Nurse Practitioner - Family in Tampa, FL

Active since May 22, 2024PECOS Enrolled
7653 GINGER LILY CT, TAMPA, FL 33619(813) 344-7672 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ashley Marie Sudore NPPES

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

ASHLEY MARIE SUDORE (NPI 1316786171) is an individual family provider in Tampa, Florida, licensed in Florida (F05240432) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316786171
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameASHLEY MARIE SUDORE
Location Address7653 GINGER LILY CTTampa, FL 33619-6920
Mailing Address7653 Ginger Lily CtTampa, FL 33619-6920 · (813) 344-7672
Sole ProprietorYes
Enumeration DateMay 22, 2024
NPPES CertifiedMay 21, 2024
✔ NPI 1316786171 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 FL · F05240432
7653 GINGER LILY CT, Tampa, FL 33619

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ashley Sudore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
8950 9TH ST N STE 102
St Petersburg, FL 33702
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group
Urgent Care
7101 US HIGHWAY 19 N
Pinellas Park, FL 33781
  • Reassigned Medicare billing, Florida enrollment
  • 93 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33619 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Sudore's NPI number?

The NPI number for Ashley Sudore is 1316786171. It was assigned to this individual provider in the NPPES registry on May 22, 2024.

Where is Ashley Sudore located?

Ashley Sudore practices at 7653 Ginger Lily Ct, Tampa, FL 33619. The listed phone number is (813) 344-7672.

What is Ashley Sudore's specialty?

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

Is Ashley Sudore enrolled in Medicare?

Yes. Ashley Sudore is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ashley Sudore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Sudore reassigns Medicare benefits to 2 organizations: Cardiothoracic Surgery Of Hyde Park Inc (St Petersburg, FL) and Unique Healthcare Systems LLC (Pinellas Park, FL). 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 Sudore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ashley Sudore was last updated on May 22, 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.