ASHLEY S TANNER (PA-C) – Physician Assistant, NPI 1295380053

ASHLEY S TANNER (PA-C) is a healthcare provider. based in Niceville, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. CDCA.170966 (OH). The NPI Number for ASHLEY S TANNER (PA-C) is 1295380053

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ASHLEY S TANNER (PA-C)
NPI
1295380053
Phone
(850) 389-4955
Address
4592 E Highway 20 Ste 3
Enumeration Date
7 August 2019
Last Update Date
15 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8502505790
Graduation Year
2022 (4 years ago)
PAC ID
5193100410
Group Practice PAC ID
3779471701
Professional Enrollment ID
I20220922000412
Address ID
FL324072532PA10800PKWY502

Contacts

Secure Messaging
Ashley.Tanner@forefrontdermatology.emadirect.md
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:6State licenses:2Other namesUpdated within 12 months

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for ASHLEY S TANNER (PA-C)

  • 4592 E Highway 20 Ste 3

    Niceville, FL 325787711

    Phone: (850) 389-4955

    Fax: (850) 266-6301

    Type: Location

  • 7720 US Highway 98 W Ste 240

    Miramar Beach, FL 325507232

    Phone: (850) 502-5989

    Fax: (850) 266-6301

    Type: Location

  • BrightView, 446, Morgan Street, Gilbert-Sinton Historic District, Walnut Hills, Cincinnati, Hamilton County, Ohio, 45206, United States

    CINCINNATI, OH 452062348

    Phone: (513) 834-7063

    Fax: (513) 873-1567

    Type: Mailing

  • Garnet Drive, South Dayton, Baton Rouge, East Baton Rouge Parish, Louisiana, 70805, United States

    DAYTON, OH 454582141

    Phone: (513) 834-7063

    Fax: (513) 873-1567

    Type: Location

  • 10800 PANAMA CITY BEACH PKWY STE 200

    PANAMA CITY BEACH, FL 324072532

    Phone: (850) 250-5790

    Fax: (850) 266-6301

    Type: Location

  • 801 YORK ST

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

  • 10800 PANAMA CITY BEACH PKWY STE 300

    PANAMA CITY BEACH, FL 324072532

    Phone: (850) 250-5790

    Fax: (850) 266-6301

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 64 Open Payments records for all available years, with a total value of $1,604.

Total Amount is formed as General ($1,604) + Research ($0) + Ownership ($0) = $1,604.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: GENZYME CORPORATION ($302).

Total Amount

$1,604

General + Research + Ownership

Payments

64

Total payment records

General Amount

$1,604

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-09-22

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
I20220922000412IPhysician AssistantFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths47483$0
17000Destruction of precancer skin growth, 1 growth152112$0
99213Established patient office or other outpatient visit, 20-29 minutes10381$0
11102Biopsy of related skin growth, first growth8477$0
99203New patient office or other outpatient visit, 30-44 minutes7272$0
View full utilization report →

Insurance plans in this area (ZIP 32578)

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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: 3779471701View full group profile
NameSpecialtyState
-WI
Physician AssistantVA
-VA
D E R M A T O L O G YTX
-WI
D E R M A T O L O G YAL
D E R M A T O L O G YWI
-WI
Physician AssistantNY
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

Where can patients find ASHLEY S TANNER (PA-C)'s NPI?
You can confirm ASHLEY S TANNER (PA-C) with NPI 1295380053; it appears in the national provider directory.
Is ASHLEY S TANNER (PA-C)'s NPI currently valid?
The extract we use shows ASHLEY S TANNER (PA-C) as active.
What field does ASHLEY S TANNER (PA-C) work in?
You can think of ASHLEY S TANNER (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place ASHLEY S TANNER (PA-C)?
The snapshot lists Niceville, Florida for ASHLEY S TANNER (PA-C); download NPPES for the complete set.
Is ASHLEY S TANNER (PA-C) a real provider?
This page reflects official NPPES data for NPI 1295380053. Always confirm identity and privileges with the practice and licensing boards.

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