ASHLEY DIZNEY
NPI 1649689415
Nurse Practitioner - Family in Middletown, CT
About Ashley Dizney NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASHLEY DIZNEY (NPI 1649689415) is an individual family provider in Middletown, Connecticut, licensed in Connecticut (5810) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Waterbury, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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 Dizney 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.
Medicare Billing Reassignment
Medicare enrollment records show Ashley Dizney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Naugatuck, CT 06770
- Reassigned Medicare billing, Connecticut enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06457 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Dizney's NPI number?
The NPI number for Ashley Dizney is 1649689415. It was assigned to this individual provider in the NPPES registry on August 6, 2014.
Where is Ashley Dizney located?
Ashley Dizney practices at 520 Saybrook Rd Ste 105, Middletown, CT 06457. The listed phone number is (203) 314-0179.
What is Ashley Dizney's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ashley Dizney enrolled in Medicare?
Yes. Ashley Dizney 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 organization bills Medicare for Ashley Dizney's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Dizney reassigns Medicare benefits to Revive Wellness LLC (Naugatuck, CT). The 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 Dizney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ashley Dizney was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Ashley Dizney · NPI 1649689415
Family physician in Middletown, Connecticut. Individual provider, active in the CMS NPPES registry since August 6, 2014.
## Identity
- **NPI:** 1649689415 (Entity type: Individual)
- **Enumerated:** August 6, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5810 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 520 SAYBROOK RD STE 105, Middletown, CT 06457-4700
- **Phone:** (203) 314-0179
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Revive Wellness LLC (NPI 1235884073, Naugatuck, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** May 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1649689415) · Data from the CMS NPPES public registry.