MRS. ASHLEY NICOLE PENALOZA (MSN, APRN, FNP-C) – Family Nurse Practitioner, NPI 1669966719
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,243 NURSE PRACTITIONER in FL
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Provider Addresses for MRS. ASHLEY NICOLE PENALOZA (MSN, APRN, FNP-C)
Lake Whistler Drive, Auburndale, Polk County, Florida, 33823, United States
AUBURNDALE, FL 338232213
Phone: (863) 287-1404
Type: Mailing
635, 1st Street North, Winter Haven, Polk County, Florida, 33881, United States
WINTER HAVEN, FL 33881
Phone: (863) 294-0670
Type: Location
500 E CENTRAL AVE
WINTER HAVEN, FL 338803053
Phone: (863) 293-1191
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 224 Open Payments records for all available years, with a total value of $3,953.
Total Amount is formed as General ($3,953) + Research ($0) + Ownership ($0) = $3,953.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($324).
Total Amount
$3,953
General + Research + Ownership
Payments
224
Total payment records
General Amount
$3,953
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2018-10-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181002001025 | I | Nurse Practitioner | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0318 | Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif | 305 | 95 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 97 | 72 | $0 |
| G0237 | Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) | 92 | 87 | $0 |
| 99345 | Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes | 85 | 85 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 78 | 74 | $0 |
Insurance plans in this area (ZIP 33823)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | FL | |
| H E M A T O L O G Y | NY | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| N E P H R O L O G Y | FL |
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