ASHLEY VALENZUELA D.O.
NPI 1376963272
Obstetrics & Gynecology in Providence, RI
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
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Ashley Valenzuela reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Osceola, MO 64776
- Reassigned Medicare billing, Missouri enrollment
- 239 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.
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.
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, MOCox Medical Center Branson
Acute Care Hospitals · Branson, MOPhysician 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.
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.
PROVIDENCE, RI 02905
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 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.
Where is Ashley Valenzuela located?
Ashley Valenzuela practices at 101 Dudley St, Providence, RI 02905. The listed phone number is (401) 274-1122.
What is Ashley Valenzuela's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Ashley Valenzuela enrolled in Medicare?
Yes. Ashley Valenzuela 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.
Which organization bills Medicare for Ashley Valenzuela's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Valenzuela reassigns Medicare benefits to Lester E Cox Medical Centers (Osceola, MO). The 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 Valenzuela's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ashley Valenzuela accept?
Health plans from Anthem Blue Cross and Blue Shield, Cox HealthPlans and Oscar Insurance Company list Ashley Valenzuela 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.
Is Ashley Valenzuela affiliated with any hospitals?
According to CMS data, Ashley Valenzuela is affiliated with Cox Medical Centers and Cox Medical Center Branson.
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 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.
# Ashley Valenzuela, D.O. · NPI 1376963272
Obstetrics & Gynecology physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since April 18, 2014.
## Identity
- **NPI:** 1376963272 (Entity type: Individual)
- **Enumerated:** April 18, 2014
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** DO00914 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 DUDLEY ST, Providence, RI 02905
- **Phone:** (401) 274-1122
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lester E Cox Medical Centers (NPI 1578896346, Osceola, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1376963272) · Data from the CMS NPPES public registry.