ASHLY M. ACOSTA (CRNP) – Nurse Practitioner, NPI 1730744012

ASHLY M. ACOSTA (CRNP) is a healthcare provider. based in Mobile, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-078431 (AL). The NPI Number for ASHLY M. ACOSTA (CRNP) is 1730744012

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ASHLY M. ACOSTA (CRNP)
NPI
1730744012
Phone
(251) 266-3580
Address
6801 AIRPORT BLVD
Enumeration Date
2 May 2019
Last Update Date
16 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
25182421745412
Graduation Year
2018 (8 years ago)
PAC ID
4385009836
Group Practice PAC ID
3577472810
Professional Enrollment ID
I20230505000411
Address ID
AL365444011IR12701RDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for ASHLY M. ACOSTA (CRNP)

  • Providence Hospital, 6801, Airport Boulevard, Huntleigh Woods, Mobile, Mobile County, Alabama, 36685, United States

    MOBILE, AL 366083709

    Phone: (251) 266-3580

    Fax: (251) 266-3581

    Type: Location

  • 12701 PADGETT SWITCH RD

    IRVINGTON, AL 365444011

    Phone: (251) 824-2174

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230505000411INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36608)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577472810View full group profile
NameSpecialtyState
-AL
Nurse PractitionerAL
Clinical Social WorkerAL
Nurse PractitionerAL
Nurse PractitionerAL
Internal Medicine, Emergency MedicineAL
Clinical Social WorkerAL
O P T O M E T R YAL
Family PracticeMS
Nurse PractitionerGA

Reviews

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Frequently asked questions

What federal number belongs to ASHLY M. ACOSTA (CRNP)?
The federal identifier for ASHLY M. ACOSTA (CRNP) is NPI 1730744012.
Does this profile mean ASHLY M. ACOSTA (CRNP) is currently active?
Yes — ASHLY M. ACOSTA (CRNP) appears active in the national provider directory.
Does ASHLY M. ACOSTA (CRNP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for ASHLY M. ACOSTA (CRNP). Clinical services aligned with this taxonomy classification.
What location metadata exists for ASHLY M. ACOSTA (CRNP)?
The page summarizes Mobile, Alabama for ASHLY M. ACOSTA (CRNP); expand the address list for detail.
What if Mobile, Alabama seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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