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ASHLEY KELEPOLO NP
NPI 1790450229
Nurse Practitioner - Family in Saint Johns, AZ

Active since August 16, 2021PECOS EnrolledAccepts Medicare Assignment
625 N 13TH W, SAINT JOHNS, AZ 85936(928) 337-3000 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ashley Kelepolo Np NPPES

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

ASHLEY KELEPOLO NP (NPI 1790450229) is an individual family provider in Saint Johns, Arizona, licensed in Arizona (F07211457) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1790450229
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameASHLEY KELEPOLOCredential: NP
Location Address625 N 13TH WSaint Johns, AZ 85936-4986
Mailing Address714 W Airport RdSpringerville, AZ 85938-5013 · (480) 258-0481
Phone(928) 337-3000
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 16, 2021
NPPES CertifiedAugust 14, 2021
✔ NPI 1790450229 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 AZ · F07211457✔ Licensed in AZ · 262356
625 N 13TH W, Saint Johns, AZ 85936
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Ashley Kelepolo Np 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 ID3971900556
PECOS Enrollment IDI20210923003571
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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
22 services17 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
17 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85936 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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

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

SUMMIT HEALTHCARE MEDICAL ASSOCIATES
Clinic/Center (Rural Health)
625 N 13TH W
SAINT JOHNS, AZ 85936
Apache County (928) 337-3000

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 Kelepolo's NPI number?

The NPI number for Ashley Kelepolo is 1790450229. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Where is Ashley Kelepolo located?

Ashley Kelepolo practices at 625 N 13th W, Saint Johns, AZ 85936. The listed phone number is (928) 337-3000.

What is Ashley Kelepolo's specialty?

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

Is Ashley Kelepolo enrolled in Medicare?

Yes. Ashley Kelepolo 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 Ashley Kelepolo accept?

Health plans from Blue Cross Blue Shield of Arizona list Ashley Kelepolo 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 Kelepolo was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.