ASHLEY LAUREN TONSETIC CRNP
NPI 1912669946
Nurse Practitioner - Psychiatric/Mental Health in Grindstone, PA

Active since October 07, 2021PECOS EnrolledAccepts Medicare Assignment
111 ROBERTS RD STE 150, GRINDSTONE, PA 15442(724) 785-4346(724) 364-7117 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ashley Lauren Tonsetic Crnp NPPES

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

ASHLEY LAUREN TONSETIC CRNP (NPI 1912669946) is an individual psychiatric/mental health provider in Grindstone, Pennsylvania, licensed in Pennsylvania (SP024423) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1912669946
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameASHLEY LAUREN TONSETICCredential: CRNP
Location Address111 ROBERTS RD STE 150Grindstone, PA 15442-2104
Mailing Address111 Roberts Rd Ste 150Grindstone, PA 15442-2104 · (724) 785-4346 · Fax (724) 364-7117
Fax(724) 364-7117
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 7, 2021
NPPES CertifiedOctober 7, 2021
✔ NPI 1912669946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP024423
111 ROBERTS RD STE 150, Grindstone, PA 15442

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

Ashley Lauren Tonsetic Crnp 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 ID7517352826
PECOS Enrollment IDI20220324000383
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 Tonsetic reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Child & Adolescent Psychiatry
6381 NATIONAL PIKE
Grindstone, PA 15442
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 30 clinicians in this Medicare group
Clinical
20 ROBERT PITT DR, UNIT 209
Monsey, NY 10952
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 160 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
155 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15442 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 3

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

Nurse Practitioner (Psychiatric/Mental Health)
111 ROBERTS RD STE 150
GRINDSTONE, PA 15442
Psychiatry & Neurology (Psychiatry)
111 ROBERTS RD STE 150
GRINDSTONE, PA 15442
Nurse Practitioner (Psychiatric/Mental Health)
111 ROBERTS RD STE 150
GRINDSTONE, PA 15442

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 Tonsetic's NPI number?

The NPI number for Ashley Tonsetic is 1912669946. It was assigned to this individual provider in the NPPES registry on October 7, 2021.

Where is Ashley Tonsetic located?

Ashley Tonsetic practices at 111 Roberts Rd Ste 150, Grindstone, PA 15442. The listed phone number is (724) 785-4346.

What is Ashley Tonsetic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ashley Tonsetic enrolled in Medicare?

Yes. Ashley Tonsetic 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 Tonsetic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Tonsetic reassigns Medicare benefits to 2 organizations: Western PA Behavioral Health Resources LLC (Grindstone, PA) and Supportive Care Of Pennsylvania LLC (Monsey, 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 Tonsetic'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 Tonsetic was last updated on October 7, 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.