ASHLEE NICHOLE SELDOMRIDGE (MD) – Surgery Physician, NPI 1477139848

ASHLEE NICHOLE SELDOMRIDGE (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 288877 (MA). The NPI Number for ASHLEE NICHOLE SELDOMRIDGE (MD) is 1477139848

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ASHLEE NICHOLE SELDOMRIDGE (MD)
NPI
1477139848
Phone
Not provided
Address
72 E CONCORD ST BLDG C515
Enumeration Date
24 March 2021
Last Update Date
6 July 2021

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2132883538
Graduation Year
2021 (5 years ago)
PAC ID
9638568967
Group Practice PAC ID
6507223310
Professional Enrollment ID
I20250812003666
Address ID
TX77042XXXXHOXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,028 GENERAL SURGERY in MA

Provider Addresses for ASHLEE NICHOLE SELDOMRIDGE (MD)

  • 72 E CONCORD ST BLDG C515

    BOSTON, MA 021182642

    Phone:

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $180.

Total Amount is formed as General ($180) + Research ($0) + Ownership ($0) = $180.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Ethicon US, LLC ($180).

Total Amount

$180

General + Research + Ownership

Payments

1

Total payment records

General Amount

$180

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ethicon US, LLC$180
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: 2025-08-12

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
I20250812003666IGeneral SurgeryTXTBD

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 02118)

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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: 6507223310View full group profile
NameSpecialtyState
General SurgeryMS
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do I look up ASHLEE NICHOLE SELDOMRIDGE (MD) by NPI?
Use NPI 1477139848 when you need to reference ASHLEE NICHOLE SELDOMRIDGE (MD) in forms, claims, or directories.
Is ASHLEE NICHOLE SELDOMRIDGE (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize ASHLEE NICHOLE SELDOMRIDGE (MD)'s specialty in plain language?
Clinically, the directory lists ASHLEE NICHOLE SELDOMRIDGE (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place ASHLEE NICHOLE SELDOMRIDGE (MD)?
The snapshot lists Boston, Massachusetts for ASHLEE NICHOLE SELDOMRIDGE (MD); download NPPES for the complete set.
Is ASHLEE NICHOLE SELDOMRIDGE (MD) a real provider?
This page reflects official NPPES data for NPI 1477139848. Always confirm identity and privileges with the practice and licensing boards.

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