ASHLEY JENNIFER CUSTODIO APRN
NPI 1821643339
Nurse Practitioner - Acute Care in Tampa, FL

Q: What is Ashley Custodio's NPI number?

The NPI number for Ashley Custodio is 1821643339. It was assigned to this individual provider in the NPPES registry on August 2, 2019.

Q: What is Ashley Custodio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Ashley Custodio was last updated on July 30, 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 August 02, 2019PECOS Enrolled

4129 N ARMENIA AVE, TAMPA, FL 33607(813) 879-3699(813) 873-8469 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 30, 2021, Aug 2, 2019 (2 updates tracked since 2019).

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About Ashley Jennifer Custodio Aprn NPPES

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

ASHLEY JENNIFER CUSTODIO APRN (NPI 1821643339) is an individual acute care provider in Tampa, Florida, licensed in Florida (APRN11003143) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821643339

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameASHLEY JENNIFER CUSTODIOCredential: APRN

Location Address4129 N ARMENIA AVETampa, FL 33607-6436

Mailing Address4129 N Armenia AveTampa, FL 33607-6436 · (813) 879-3699 · Fax (813) 873-8469

Phone(813) 879-3699

Fax(813) 873-8469

Sole ProprietorNo

Enumeration DateAugust 2, 2019

Last NPPES UpdateJuly 30, 20212 updates tracked since enumeration

NPPES CertifiedJuly 30, 2021

✔ NPI 1821643339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in FL · APRN11003143

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 11003143 (FL)

4129 N ARMENIA AVE, Tampa, FL 33607

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley Jennifer Custodio Aprn 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.

Medicare Billing Reassignment

Medicare enrollment records show Ashley Custodio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tampa Lung Specialists, P.A.

Same address

Pulmonary Disease

4129 N ARMENIA AVE, STE B
Tampa, FL 33607

Reassigned Medicare billing, Florida enrollment
31 clinicians in this Medicare group

NPI 1407971419 (813) 879-3699

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 33607 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 19

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

GREGORY J SMULL MD

Internal Medicine (Pulmonary Disease)

4129 N ARMENIA AVE
TAMPA, FL 33607

Hillsborough County (138) 793-6998

DR. RACHEL KOMALA MOODEY MD

Internal Medicine (Critical Care Medicine)

4129 N ARMENIA AVE
TAMPA, FL 33607

Hillsborough County (813) 879-3699

RAUL SIERRA MD PA

General Practice

4129 N ARMENIA AVE, SUITE B
TAMPA, FL 33607

Hillsborough County (813) 877-7526

DR. JACQUES EMMANUEL DENIS MD

Internal Medicine (Pulmonary Disease)

4129 N ARMENIA AVE
TAMPA, FL 33607

Hillsborough County (813) 879-3699

MS. ASHLEY KIEVIT PA-C

Physician Assistant

4129 N ARMENIA AVE
TAMPA, FL 33607

Hillsborough County (813) 879-3699

DR. KATHERINE E HODGIN M.D.

Internal Medicine (Critical Care Medicine)

4129 N ARMENIA AVE, SUITE B
TAMPA, FL 33607

Hillsborough County (813) 879-3699

MARGARITA GEORGIEVA TODOROV ARNP

Nurse Practitioner (Adult Health)

4129 N ARMENIA AVE
TAMPA, FL 33607

Hillsborough County (813) 879-3699

TAMPA LUNG SPECIALISTS, P.A.

Internal Medicine (Pulmonary Disease)

4129 N ARMENIA AVE, STE B
TAMPA, FL 33607

Hillsborough County (813) 879-3699

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 Custodio's NPI number?

The NPI number for Ashley Custodio is 1821643339. It was assigned to this individual provider in the NPPES registry on August 2, 2019.

Where is Ashley Custodio located?

Ashley Custodio practices at 4129 N Armenia Ave, Tampa, FL 33607. The listed phone number is (813) 879-3699.

What is Ashley Custodio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Ashley Custodio enrolled in Medicare?

Yes. Ashley Custodio is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ashley Custodio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Custodio reassigns Medicare benefits to Tampa Lung Specialists, P.A. (Tampa, FL). 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 Custodio'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 Custodio was last updated on July 30, 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.