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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: October 25, 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 Bloomington Hospital, and maintains a secondary practice location in Indianapolis.

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

Secondary Practice Location 1

Location 11701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (317) 962-6793

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare.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 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.

Medicare Billing Reassignments

2

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

Indiana University Radiology Associates, Inc.
1.1 mi
Diagnostic Radiology
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 279 clinicians in this Medicare group
NPI 1336192665 (317) 962-5035
Iu Health Medical Group, LLC
1.2 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

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

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

Indiana University Health Jay, Inc.

Critical Access Hospitals · Portland, IN
OwnershipGovernment - Local
CMS Certification Number151320
Location500 W Votaw StPortland, IN 47371 · Jay County
Emergency services

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.

Which organizations bill Medicare for Ashley Ellenberger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Ellenberger reassigns Medicare benefits to 2 organizations: Indiana University Radiology Associates, Inc. (Indianapolis, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). 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 Ellenberger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Ellenberger accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Cigna Healthcare 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 Bloomington Hospital, Indiana University Health, Indiana University Health Ball Memorial Hospital, Cameron Memorial Community Hospital Inc and Indiana University Health Jay, 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 13 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.