ASHLEY LEONA CRAIN ARNP
NPI 1386191286
Nurse Practitioner in Miami, FL

Active since September 08, 2016PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1120 NW 14TH ST, MIAMI, FL 33136(305) 243-1000 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 28, 2022, Jan 12, 2017 (2 updates tracked since 2017).

About Ashley Leona Crain Arnp NPPES

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

ASHLEY LEONA CRAIN ARNP (NPI 1386191286) is an individual nurse practitioner in Miami, Florida, licensed in Florida (APRN9278305) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1386191286
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameASHLEY LEONA CRAINCredential: ARNP
Location Address1120 NW 14TH STMiami, FL 33136-2107
Mailing Address1120 Nw 14th StMiami, FL 33136-2107
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 8, 2016
Last NPPES UpdateNovember 28, 20222 updates tracked since enumeration
NPPES CertifiedNovember 28, 2022
NPI 1386191286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · APRN9278305
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1120 NW 14TH ST, Miami, FL 33136

Accepted 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 Leona Crain Arnp 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 ID6103100110
PECOS Enrollment IDI20170310000680
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 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.
42 services41 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
38 services34 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.
28 services28 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
10%154 patients
Breast Cancer Screening
80%417 patients4/55-star benchmark: 93%
Cervical Cancer Screening
19%637 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
21%606 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
66%125 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
42%52 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
56%52 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%1,219 patients4/55-star benchmark: 100%
e-Prescribing
100%57 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
98%233 patients4/55-star benchmark: 100%
HIV Screening
20%744 patients2/55-star benchmark: 60%
Oncology: Medical and Radiation - Pain Intensity Quantified
96%28 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
42%902 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
97%818 patients5/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
39%1,039 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 253 patients
97%253 patients
Provide Patients Electronic Access to Their Health Information
100%305 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 10% · 251 patients
Patients totalRate: 12% · 251 patients
7%251 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Psychiatry & Neurology (Psychiatry)
1120 NW 14TH ST
MIAMI, FL 33136
Psychiatry & Neurology (Neurology)
1120 NW 14TH ST, SUITE 1323 13TH FLOOR
MIAMI, FL 33136
Orthopaedic Surgery
1120 NW 14TH ST
MIAMI, FL 33136
Otolaryngology
1120 NW 14TH ST, 5TH FLOOR
MIAMI, FL 33136
Speech-Language Pathologist
1120 NW 14TH ST
MIAMI, FL 33136
Obstetrics & Gynecology
1120 NW 14TH ST
MIAMI, FL 33136
Nurse Practitioner (Psychiatric/Mental Health)
1120 NW 14TH ST
MIAMI, FL 33136
Internal Medicine (Nephrology)
1120 NW 14TH ST
MIAMI, FL 33136

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 Crain's NPI number?

The NPI number for Ashley Crain is 1386191286. It was assigned to this individual provider in the NPPES registry on September 8, 2016.

Where is Ashley Crain located?

Ashley Crain practices at 1120 NW 14th St, Miami, FL 33136. The listed phone number is (305) 243-1000.

What is Ashley Crain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ashley Crain enrolled in Medicare?

Yes. Ashley Crain 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 Crain accept?

Health plans from AmeriHealth Caritas Next, Molina Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Ashley Crain 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 Crain was last updated on November 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.