ASHLY PENCIL (MSN, ARNP, FNP-C) – Family Nurse Practitioner, NPI 1114596350

ASHLY PENCIL (MSN, ARNP, FNP-C) is a healthcare provider. based in Urbandale, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, ARNP, FNP-C. They hold a License No. A162852 (IA). The NPI Number for ASHLY PENCIL (MSN, ARNP, FNP-C) is 1114596350

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
ASHLY PENCIL (MSN, ARNP, FNP-C)
NPI
1114596350
Phone
(515) 868-3236
Address
14403 SUTTON DR
Enumeration Date
22 June 2021
Last Update Date
22 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7372266700
Graduation Year
2018 (8 years ago)
PAC ID
7911354550
Group Practice PAC ID
9133536113
Professional Enrollment ID
I20231103001572
Address ID
IA502138267OS444XXDRXX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

Provider Addresses for ASHLY PENCIL (MSN, ARNP, FNP-C)

  • 14403 SUTTON DR

    URBANDALE, IA 503231828

    Phone: (515) 868-3236

    Type: Mailing

  • 1401 CAMPUS DR

    CLIVE, IA 503256500

    Phone: (515) 381-6519

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $450.

Total Amount is formed as General ($450) + Research ($0) + Ownership ($0) = $450.

Last reported payment date: 2024-05-09 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($121).

Total Amount

$450

General + Research + Ownership

Payments

16

Total payment records

General Amount

$450

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-09

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: 2023-11-03

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
I20231103001572INurse PractitionerIATBD

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 50323)

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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: 9133536113View full group profile
NameSpecialtyState
Family PracticeLA
Hospitalist, Internal MedicineIA
Nurse PractitionerLA
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIL
Physician AssistantIA
Family PracticeMN
Nurse PractitionerIA

Reviews

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Frequently asked questions

Can I cross-check ASHLY PENCIL (MSN, ARNP, FNP-C) using NPI 1114596350?
NPI 1114596350 belongs to ASHLY PENCIL (MSN, ARNP, FNP-C); compare other details if you need extra assurance.
Is there an active status for ASHLY PENCIL (MSN, ARNP, FNP-C)?
For scheduling context, ASHLY PENCIL (MSN, ARNP, FNP-C) is shown as active in the registry.
What clinical focus is listed for ASHLY PENCIL (MSN, ARNP, FNP-C)?
At a glance, ASHLY PENCIL (MSN, ARNP, FNP-C) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with ASHLY PENCIL (MSN, ARNP, FNP-C)?
Directory geography for ASHLY PENCIL (MSN, ARNP, FNP-C) centers on Urbandale, Iowa.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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