ASHLEY VALENZUELA D.O.
NPI 1376963272
Obstetrics & Gynecology in Providence, RI

Q: What is Ashley Valenzuela's NPI number?

The NPI number for Ashley Valenzuela is 1376963272. It was assigned to this individual provider in the NPPES registry on April 18, 2014.

Q: What is Ashley Valenzuela's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Ashley Valenzuela was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since April 18, 2014PECOS EnrolledAccepts Medicare Assignment

101 DUDLEY ST, PROVIDENCE, RI 02905(401) 274-1122 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2024, Jun 24, 2021, Feb 21, 2020 and 2 more (5 updates tracked since 2018).

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About Ashley Valenzuela D.o. NPPES

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

ASHLEY VALENZUELA D.O. (NPI 1376963272) is an individual obstetrics & gynecology provider in Providence, Rhode Island, licensed in Rhode Island (DO00914) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376963272

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameASHLEY VALENZUELACredential: D.O.

Location Address101 DUDLEY STProvidence, RI 02905

Mailing AddressPo Box 505673Saint Louis, MO 63150-5673

Phone(401) 274-1122

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 18, 2014

Last NPPES UpdateOctober 4, 20245 updates tracked since enumeration

NPPES CertifiedOctober 4, 2024

✔ NPI 1376963272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in RI · DO00914

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

101 DUDLEY ST, Providence, RI 02905

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Secondary Practice Locations 2

Location 14700 Waters Ave, Ob/Gyn Residency Program, Memorial University Medical CSavannah, GA 31404-6220 · Phone (912) 350-3595

Location 23850 S National Ave Ste 700Springfield, MO 65807-5292 · Phone (000) 000-0000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.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 Valenzuela D.o. 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 ID9133470354

PECOS Enrollment IDI20240829000147

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 2

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 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.

51 services47 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260040

Location3801 South National AvenueSpringfield, MO 65807 · Greene County

Emergency services Birthing friendly

Cox Medical Center Branson

Acute Care Hospitals · Branson, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260094

Location525 Branson Landing Blvd, PO Box 650Branson, MO 65615 · Taney County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

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 20

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

CHRISTOPHER DONALD PALMER DO

Internal Medicine