ASHLEY R ALLEN NP
NPI 1427574177
Nurse Practitioner in Middletown, DE

Active since August 15, 2017Opted out of Medicare · through Jul 1, 2027
35 W MAIN ST, MIDDLETOWN, DE 19709(302) 446-4099(855) 616-8458 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2025, Oct 5, 2023, Mar 10, 2021 and 2 more (5 updates tracked since 2017).

About Ashley R Allen Np NPPES

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

ASHLEY R ALLEN NP (NPI 1427574177) is an individual nurse practitioner in Middletown, Delaware, licensed in Delaware (LG0001075) and active in the NPI registry since August 2017. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1427574177
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameASHLEY R ALLENCredential: NP
Location Address35 W MAIN STMiddletown, DE 19709-1017
Mailing Address112 Abbigail XingTownsend, DE 19734-2891 · (302) 757-6246
Fax(855) 616-8458
Sole ProprietorNo
Enumeration DateAugust 15, 2017
Last NPPES UpdateMarch 11, 20255 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
NPI 1427574177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in DE · LG0001075
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License LG-0001075 (DE)
35 W MAIN ST, Middletown, DE 19709

Secondary Practice Locations 2

Location 1421 E Main St Ste 6Middletown, DE 19709-1463 · Phone (302) 376-5830
Location 2108 Patriot Dr Ste AMiddletown, DE 19709-8803 · Phone (302) 446-4099 · Fax (855) 616-8458

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ashley R Allen Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19709 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Reported Quality Measures

Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%47 patients5/55-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 2

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

Nurse Practitioner (Family)
35 W MAIN ST
MIDDLETOWN, DE 19709
Nurse Practitioner
35 W MAIN ST
MIDDLETOWN, DE 19709

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 Allen's NPI number?

The NPI number for Ashley Allen is 1427574177. It was assigned to this individual provider in the NPPES registry on August 15, 2017.

Where is Ashley Allen located?

Ashley Allen practices at 35 W Main St, Middletown, DE 19709. The listed phone number is (302) 446-4099.

What is Ashley Allen's specialty?

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

Is Ashley Allen enrolled in Medicare?

No. Ashley Allen has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Ashley Allen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Ashley Allen 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 Allen was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.