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ASHLEY DETZNER ELLENBERGER MD
NPI 1417584418
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment
550 UNIVERSITY BLVD RM 641, INDIANAPOLIS, IN 46202(317) 944-1816(317) 948-2803 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 27, 2025, Jun 8, 2021, Nov 20, 2020 and 1 more (4 updates tracked since 2020).

About Ashley Detzner Ellenberger Md NPPES

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

ASHLEY DETZNER ELLENBERGER MD (NPI 1417584418) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1417584418
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameASHLEY DETZNER ELLENBERGERCredential: MD
Location Address550 UNIVERSITY BLVD RM 641Indianapolis, IN 46202-5149
Mailing Address8414 Naab RdIndianapolis, IN 46260-1972
Phone(317) 944-1816
Fax(317) 948-2803
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 27, 2020
Last NPPES UpdateSeptember 22, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2025
✔ NPI 1417584418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 01096035A (IN)
550 UNIVERSITY BLVD RM 641, Indianapolis, IN 46202
Open in Google Maps ↗

Other Names 1

Former Name (1)Ashley Alexandra Detzner Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 Detzner Ellenberger Md 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 ID8022430917
PECOS Enrollment IDI20250604001305
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.

Hospital Affiliations CMS Care Compare 5

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Iu Health West Hospital

Acute Care Hospitals · Avon, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150158
Location1111 N Ronald Reagan PkwyAvon, IN 46123 · Hendricks County
Emergency services Birthing friendly

Indiana University Health North Hospital

Acute Care Hospitals · Carmel, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150161
Location11700 N Meridian StCarmel, IN 46032 · Hamilton County
Emergency services Birthing friendly

Cameron Memorial Community Hospital Inc

Critical Access Hospitals · Angola, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151315
Location416 E Maumee StAngola, IN 46703 · Steuben County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 19

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

ALIKEM MIRIAM AGAMAH
Student in an Organized Health Care Education/Training Program
550 UNIVERSITY BLVD RM 641
INDIANAPOLIS, IN 46202
Marion County (317) 948-2444
HASHIM ARMASHI DO
Radiology (Vascular & Interventional Radiology)
550 UNIVERSITY BLVD RM 641
INDIANAPOLIS, IN 46202
Marion County (317) 944-1816
DR. SERGIO NICOLAS PAEZ-CALDERON MD
Student in an Organized Health Care Education/Training Program
550 UNIVERSITY BLVD RM 641
INDIANAPOLIS, IN 46202
Marion County (317) 274-0010
NATHAN JOSEPH
Student in an Organized Health Care Education/Training Program
550 UNIVERSITY BLVD RM 641
INDIANAPOLIS, IN 46202
Marion County (317) 278-7056
JUAN NICOLAS USECHE GOMEZ M.D.
Radiology (Neuroradiology)
550 UNIVERSITY BLVD RM 641
INDIANAPOLIS, IN 46202
Marion County (317) 274-9884
TREVOR DECKER DO
Student in an Organized Health Care Education/Training Program
550 UNIVERSITY BLVD RM 641
INDIANAPOLIS, IN 46202
Marion County (317) 274-8282
KAVITA PATEL DO
Student in an Organized Health Care Education/Training Program
550 UNIVERSITY BLVD RM 641
INDIANAPOLIS, IN 46202
Marion County (317) 278-7056
ADAM MATTHEW DOEDTMAN MD
Student in an Organized Health Care Education/Training Program
550 UNIVERSITY BLVD RM 641
INDIANAPOLIS, IN 46202
Marion County (317) 850-5286

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 Ellenberger's NPI number?

The NPI number for Ashley Ellenberger is 1417584418. It was assigned to this individual provider in the NPPES registry on March 27, 2020. The provider is also known as Ashley Alexandra Detzner MD.

Where is Ashley Ellenberger located?

Ashley Ellenberger practices at 550 University Blvd Rm 641, Indianapolis, IN 46202. The listed phone number is (317) 944-1816.

What is Ashley Ellenberger's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ashley Ellenberger enrolled in Medicare?

Yes. Ashley Ellenberger 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 Ellenberger accept?

Health plans from CareSource list Ashley Ellenberger 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 Ellenberger affiliated with any hospitals?

According to CMS data, Ashley Ellenberger is affiliated with Indiana University Health, Indiana University Health Ball Memorial Hospital, Iu Health West Hospital, Indiana University Health North Hospital and Cameron Memorial Community Hospital Inc.

When was this NPI record last updated?

The NPPES record for Ashley Ellenberger was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.