ASHLIE HEAD (NP) – Family Nurse Practitioner, NPI 1104452234

ASHLIE HEAD (NP) is a healthcare provider. based in Riverview, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704313506 (MI). The NPI Number for ASHLIE HEAD (NP) is 1104452234

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ASHLIE HEAD (NP)
NPI
1104452234
Phone
(734) 362-5100
Address
19020 FORT ST
Enumeration Date
20 March 2020
Last Update Date
20 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3133625100
Graduation Year
2020 (6 years ago)
PAC ID
6800227513
Group Practice PAC ID
4082600549
Professional Enrollment ID
I20200513002447
Address ID
MI481936701RI19020STXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for ASHLIE HEAD (NP)

  • 19020 FORT ST

    RIVERVIEW, MI 481936701

    Phone: (734) 362-5100

    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 91 Open Payments records for all available years, with a total value of $1,527.

Total Amount is formed as General ($1,527) + Research ($0) + Ownership ($0) = $1,527.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($406).

Total Amount

$1,527

General + Research + Ownership

Payments

91

Total payment records

General Amount

$1,527

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

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: 2020-05-13

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
I20200513002447INurse PractitionerMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7968$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg5212$0
99214Established patient office or other outpatient visit, 30-39 minutes4744$0
G0444Annual depression screening, 5 to 15 minutes3030$0
81002Urinalysis, manual test2523$0
View full utilization report →

Insurance plans in this area (ZIP 48193)

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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: 4082600549View full group profile
NameSpecialtyState
-MI
Family PracticeMI
Nurse PractitionerMI
Internal MedicineMI
Family PracticeMI
-MI
Family PracticeMI
Physician AssistantMI
-MI

Reviews

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Frequently asked questions

Can I verify ASHLIE HEAD (NP) with an NPI only?
You can start verification with NPI 1104452234 for ASHLIE HEAD (NP), then check state licensing separately.
Does CMS list ASHLIE HEAD (NP) as active?
Yes — ASHLIE HEAD (NP) is active in the NPI listing used on this page.
What taxonomy line describes ASHLIE HEAD (NP)?
For research purposes, treat ASHLIE HEAD (NP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is ASHLIE HEAD (NP) based?
ASHLIE HEAD (NP) is tied to Riverview, Michigan in the data we show; additional addresses may exist on the full record.
Why does ASHLIE HEAD (NP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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