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 with the weekly NPPES data releases published by CMS.

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: July 26, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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