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JOHN WILLIAM ASHLEY APRN
NPI 1528694882
Nurse Practitioner - Family in Lake Wales, FL

Active since March 19, 2020PECOS EnrolledAccepts Medicare Assignment
88.53/100
CMS Quality Rating
1204 CARLTON AVE, LAKE WALES, FL 33853(863) 456-4091(863) 456-4089 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 5, 2026, Oct 28, 2022, Apr 30, 2021 and 3 more (6 updates tracked since 2020).

About John William Ashley Aprn NPPES

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

JOHN WILLIAM ASHLEY APRN (NPI 1528694882) is an individual family provider in Lake Wales, Florida, licensed in Florida (APRN11006618) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1528694882
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOHN WILLIAM ASHLEYCredential: APRN
Location Address1204 CARLTON AVELake Wales, FL 33853-4318
Mailing Address1204 Carlton AveLake Wales, FL 33853-4318 · (863) 456-4091 · Fax (863) 456-4089
Phone(863) 456-4091
Fax(863) 456-4089
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 19, 2020
Last NPPES UpdateJanuary 5, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1528694882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11006618
1204 CARLTON AVE, Lake Wales, FL 33853
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

John William Ashley Aprn 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 ID8921427105
PECOS Enrollment IDI20201008000371
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 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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
156 services141 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
97 services96 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33853 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

88.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.42
Improvement Activities40
Cost62.49

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers13 claims13 services$36.37 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
5 suppliers23 claims39 services$1.48 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers16 claims16 services$91.82 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers19 claims45 services$32.69 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers13 claims13 services$61.12 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers17 claims17 services$18.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ASHJON MEDICAL LLC
Clinic/Center (Urgent Care)
1204 CARLTON AVE
LAKE WALES, FL 33853
Polk County (863) 214-7853
DARIAN HILTON JONES APRN
Nurse Practitioner (Family)
1204 CARLTON AVE
LAKE WALES, FL 33853
Polk County (863) 456-4091

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 John Ashley's NPI number?

The NPI number for John Ashley is 1528694882. It was assigned to this individual provider in the NPPES registry on March 19, 2020.

Where is John Ashley located?

John Ashley practices at 1204 Carlton Ave, Lake Wales, FL 33853. The listed phone number is (863) 456-4091.

What is John Ashley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is John Ashley enrolled in Medicare?

Yes. John Ashley 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 John Ashley accept?

Health plans from AvMed list John Ashley 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 John Ashley was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.