MRS. ASHLEY NICOLE PENALOZA MSN, APRN, FNP-C
NPI 1669966719
Nurse Practitioner - Family in Winter Haven, FL

Active since June 20, 2018PECOS EnrolledAccepts Medicare Assignment
500 E CENTRAL AVE, WINTER HAVEN, FL 33880(863) 293-1191 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2025, Nov 7, 2022, Aug 2, 2018 and 1 more (4 updates tracked since 2018).

About Mrs. Ashley Nicole Penaloza Msn, Aprn, Fnp-c NPPES

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

MRS. ASHLEY NICOLE PENALOZA MSN, APRN, FNP-C (NPI 1669966719) is an individual family provider in Winter Haven, Florida, licensed in Florida (APRN9310149) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Lake Wales, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1669966719
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ASHLEY NICOLE PENALOZACredential: MSN, APRN, FNP-C
Location Address500 E CENTRAL AVEWinter Haven, FL 33880-3094
Mailing Address500 E Central AveWinter Haven, FL 33880-3053 · (863) 293-1191
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 20, 2018
Last NPPES UpdateAugust 13, 20254 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1669966719 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
Licenses✔ Licensed in FL · APRN9310149✔ Licensed in FL · RN9310149
500 E CENTRAL AVE, Winter Haven, FL 33880

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

Mrs. Ashley Nicole Penaloza Msn, Aprn, Fnp-c 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 ID5294086278
PECOS Enrollment IDI20181002001025
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

5

Medicare enrollment records show Ashley Penaloza reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
500 E CENTRAL AVE
Winter Haven, FL 33880
  • Reassigned Medicare billing, Florida enrollment
  • 93 clinicians in this Medicare group
Internal Medicine
500 E CENTRAL AVE
Winter Haven, FL 33880
  • Reassigned Medicare billing, Florida enrollment
  • 120 clinicians in this Medicare group
Urgent Care
325 1ST ST N
Winter Haven, FL 33881
  • Reassigned Medicare billing, Florida enrollment
  • 23 clinicians in this Medicare group
Internal Medicine
635 1ST ST N
Winter Haven, FL 33881
  • Reassigned Medicare billing, Florida enrollment
  • 34 clinicians in this Medicare group
Nurse Practitioner
2112 SUNNYDALE BLVD STE B
Clearwater, FL 33765
  • Reassigned Medicare billing, Florida enrollment
  • 12 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.

Areas of Expertise CMS Part B claims 22

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
250 services158 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
198 services144 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
197 services147 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
193 services140 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
180 services141 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
129 services108 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Lake Wales

Acute Care Hospitals · Lake Wales, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100099
Location410 S 11th StLake Wales, FL 33853 · Polk County
Emergency services

Adventhealth Heart Of Florida

Acute Care Hospitals · Davenport, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100137
Location40100 Hwy 27Davenport, FL 33837 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33880 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.

Other Providers at the Same Location NPPES 20

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

Orthopaedic Surgery
500 E CENTRAL AVE
WINTER HAVEN, FL 33880
Internal Medicine (Nephrology)
500 E CENTRAL AVE, BOND CLINIC, P.A.
WINTER HAVEN, FL 33880
Urology
500 E CENTRAL AVE
WINTER HAVEN, FL 33880
Internal Medicine (Gastroenterology)
500 E CENTRAL AVE
WINTER HAVEN, FL 33880
Nurse Practitioner (Family)
500 E CENTRAL AVE
WINTER HAVEN, FL 33880
Specialist/Technologist (Athletic Trainer)
500 E CENTRAL AVE
WINTER HAVEN, FL 33880
Obstetrics & Gynecology
500 E CENTRAL AVE
WINTER HAVEN, FL 33880
Internal Medicine
500 E CENTRAL AVE
WINTER HAVEN, FL 33880

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 Penaloza's NPI number?

The NPI number for Ashley Penaloza is 1669966719. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Where is Ashley Penaloza located?

Ashley Penaloza practices at 500 E Central Ave, Winter Haven, FL 33880. The listed phone number is (863) 293-1191.

What is Ashley Penaloza's specialty?

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

Is Ashley Penaloza enrolled in Medicare?

Yes. Ashley Penaloza 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 Penaloza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Penaloza reassigns Medicare benefits to 5 organizations: Adventhealth Bond Clinic, Inc. (Winter Haven, FL), Bond Clinic PA (Winter Haven, FL), Bond Urgent Care LLC (Winter Haven, FL), Gessler Clinic Professional Association (Winter Haven, FL) and Clinicare Clinical Services, Inc. (Clearwater, FL). 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 Penaloza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ashley Penaloza affiliated with any hospitals?

According to CMS data, Ashley Penaloza is affiliated with Adventhealth Lake Wales and Adventhealth Heart Of Florida.

When was this NPI record last updated?

The NPPES record for Ashley Penaloza was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.