MRS. ASHLEY NICOLE PENALOZA (MSN, APRN, FNP-C) – Family Nurse Practitioner, NPI 1669966719

MRS. ASHLEY NICOLE PENALOZA (MSN, APRN, FNP-C) is a healthcare provider. based in Auburndale, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, FNP-C. They hold a License No. APRN9310149 (FL). The NPI Number for MRS. ASHLEY NICOLE PENALOZA (MSN, APRN, FNP-C) is 1669966719

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ASHLEY NICOLE PENALOZA (MSN, APRN, FNP-C)
NPI
1669966719
Phone
(863) 287-1404
Address
112 LAKE WHISTLER DR
Enumeration Date
20 June 2018
Last Update Date
13 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8632931191
Graduation Year
2018 (8 years ago)
PAC ID
5294086278
Group Practice PAC ID
2264931294
Professional Enrollment ID
I20181002001025
Address ID
FL338803053WI500XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:7State licenses:2Digital endpointsOther names

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

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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181002001025INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0318Prolonged 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 qualif30595$0
36415Insertion of needle into vein for collection of blood sample9772$0
G0237Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring)9287$0
99345Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes8585$0
99443Telephone medical discussion with physician, 21-30 minutes7874$0
View full utilization report →

Insurance plans in this area (ZIP 33823)

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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: 2264931294View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
H E M A T O L O G YNY
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
N E P H R O L O G YFL

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Frequently asked questions

What number should I use to identify MRS. ASHLEY NICOLE PENALOZA (MSN, APRN, FNP-C) for billing?
Administrative and clinical systems typically use NPI 1669966719 for MRS. ASHLEY NICOLE PENALOZA (MSN, APRN, FNP-C).
Quick check: is MRS. ASHLEY NICOLE PENALOZA (MSN, APRN, FNP-C) active?
Public NPPES data shows MRS. ASHLEY NICOLE PENALOZA (MSN, APRN, FNP-C) with an active NPI status right now.
What type of care does MRS. ASHLEY NICOLE PENALOZA (MSN, APRN, FNP-C) provide?
MRS. ASHLEY NICOLE PENALOZA (MSN, APRN, FNP-C)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. ASHLEY NICOLE PENALOZA (MSN, APRN, FNP-C) tied to Auburndale, Florida?
If you are local to Auburndale, Florida, MRS. ASHLEY NICOLE PENALOZA (MSN, APRN, FNP-C) may be relevant to your search.
Who maintains MRS. ASHLEY NICOLE PENALOZA (MSN, APRN, FNP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.