ASHLEY MABUTAS
NPI 1740857242
Nurse Practitioner - Pediatrics in Dallas, TX

Q: What is Ashley Mabutas's NPI number?

The NPI number for Ashley Mabutas is 1740857242. It was assigned to this individual provider in the NPPES registry on June 4, 2021.

Q: What is Ashley Mabutas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Ashley Mabutas was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 04, 2021PECOS Enrolled

5200 HARRY HINES BLVD, DALLAS, TX 75235(469) 419-4904 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ashley Mabutas NPPES

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

ASHLEY MABUTAS (NPI 1740857242) is an individual pediatrics provider in Dallas, Texas, licensed in Texas (1023051) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740857242

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameASHLEY MABUTAS

Location Address5200 HARRY HINES BLVDDallas, TX 75235-7709

Mailing Address3901 Clear Creek CtRichardson, TX 75082-5602

Phone(469) 419-4904

Sole ProprietorNo

Enumeration DateJune 4, 2021

NPPES CertifiedJune 4, 2021

✔ NPI 1740857242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in TX · 1023051

5200 HARRY HINES BLVD, Dallas, TX 75235

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley Mabutas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

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