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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. ASHLEY NICOLE PEBBLES NP
NPI 1912396177
Nurse Practitioner - Adult Health in Pittsford, NY

Active since January 12, 2015PECOS EnrolledAccepts Medicare Assignment
56 N . MAIN ST., PITTSFORD, NY 14534(585) 520-2530(585) 301-4003 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2026, Sep 9, 2026, Aug 19, 2019 (3 updates tracked since 2019).

About Mrs. Ashley Nicole Pebbles Np NPPES

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

MRS. ASHLEY NICOLE PEBBLES NP (NPI 1912396177) is an individual adult health provider in Pittsford, New York, licensed in New York (309179) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1912396177
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. ASHLEY NICOLE PEBBLESCredential: NP
Location Address56 N . MAIN ST.Pittsford, NY 14534
Mailing Address355 Hammocks DrFairport, NY 14450-7006 · (585) 520-2530 · Fax (585) 301-4003
Phone(585) 520-2530
Fax(585) 301-4003
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 12, 2015
Last NPPES UpdateSeptember 23, 20263 updates tracked since enumeration
NPPES CertifiedOctober 18, 2024
✔ NPI 1912396177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 309179
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 664269 (NY)
56 N . MAIN ST., Pittsford, NY 14534
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Other Names 1

Former Name (1)Ms. Ashley Nicole Santillo Agpc-np

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 Pebbles 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 ID941748198
PECOS Enrollment IDI20240819003119
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

2

Medicare enrollment records show Ashley Pebbles reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ashley Santillo Nurse Practitioner In Adult Health PLLC
4.3 mi
Adult Health
355 HAMMOCKS DR
Fairport, NY 14450
  • Reassigned Medicare billing, New York enrollment
NPI 1114755600 (585) 520-2530
Bp Immediate Medical Care, PC
249 mi
Urgent Care
3808 14TH AVE
Brooklyn, NY 11218
  • Reassigned Medicare billing, New York enrollment
  • 39 clinicians in this Medicare group
NPI 1205105004 (212) 257-2424

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 14534 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Pebbles's NPI number?

The NPI number for Ashley Pebbles is 1912396177. It was assigned to this individual provider in the NPPES registry on January 12, 2015. The provider is also known as Ms. Ashley Nicole Santillo Agpc-Np.

Where is Ashley Pebbles located?

Ashley Pebbles practices at 56 N . Main St., Pittsford, NY 14534. The listed phone number is (585) 520-2530.

What is Ashley Pebbles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Ashley Pebbles enrolled in Medicare?

Yes. Ashley Pebbles 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 Pebbles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Pebbles reassigns Medicare benefits to 2 organizations: Ashley Santillo Nurse Practitioner In Adult Health PLLC (Fairport, NY) and Bp Immediate Medical Care, PC (Brooklyn, NY). 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 Pebbles'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 Pebbles was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.