ASHLEY MARIE SUDORE – Family Nurse Practitioner, NPI 1316786171

ASHLEY MARIE SUDORE is a healthcare provider. based in Tampa, Florida. specializing in NURSE PRACTITIONER. They hold a License No. F05240432 (FL). The NPI Number for ASHLEY MARIE SUDORE is 1316786171

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
ASHLEY MARIE SUDORE
NPI
1316786171
Phone
(813) 344-7672
Address
7653 GINGER LILY CT
Enumeration Date
22 May 2024
Last Update Date
22 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7272018585
Graduation Year
2024 (2 years ago)
PAC ID
6608390323
Group Practice PAC ID
5496058422
Professional Enrollment ID
I20250403002003
Address ID
FL337814607PI7101XNXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for ASHLEY MARIE SUDORE

  • 7653 GINGER LILY CT

    TAMPA, FL 336196920

    Phone: (813) 344-7672

    Mailing address matches the actual address.

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: 2025-04-03

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
I20250403002003INurse PractitionerFLTBD

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 33619)

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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: 5496058422View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How is ASHLEY MARIE SUDORE identified in CMS data?
CMS-hosted NPPES data lists ASHLEY MARIE SUDORE with NPI 1316786171.
Is ASHLEY MARIE SUDORE still practicing?
ASHLEY MARIE SUDORE is currently listed as active in the public NPI registry.
What taxonomy line describes ASHLEY MARIE SUDORE?
For research purposes, treat ASHLEY MARIE SUDORE as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ASHLEY MARIE SUDORE on a map?
Expect Tampa, Florida as a primary anchor for ASHLEY MARIE SUDORE unless the record lists multiple sites.
Is the information about ASHLEY MARIE SUDORE up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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