ASHLEY TAYLOR FENNELL (OD) – Optometrist, NPI 1235988098

ASHLEY TAYLOR FENNELL (OD) is a healthcare provider. based in Boyers, Pennsylvania. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OEG004146 (PA). The NPI Number for ASHLEY TAYLOR FENNELL (OD) is 1235988098

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ASHLEY TAYLOR FENNELL (OD)
NPI
1235988098
Phone
(724) 996-7713
Address
1014 BRANCHTON RD
Enumeration Date
15 May 2024
Last Update Date
30 May 2024

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
7242875739
Graduation Year
2024 (2 years ago)
PAC ID
4183168321
Group Practice PAC ID
7810980109
Professional Enrollment ID
I20240628002907
Address ID
PA160014927BU156XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,771 OPTOMETRY in PA

Provider Addresses for ASHLEY TAYLOR FENNELL (OD)

  • 1014 BRANCHTON RD

    BOYERS, PA 160201406

    Phone: (724) 996-7713

    Type: Mailing

  • 808 W MAIN ST

    GROVE CITY, PA 161271114

    Phone: (724) 458-8533

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Alcon Vision LLC ($37).

Total Amount

$52

General + Research + Ownership

Payments

3

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

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: 2024-06-28

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
I20240628002907IOptometryPATBD

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 16020)

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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: 7810980109View full group profile
NameSpecialtyState
O P T O M E T R YPA
O P T O M E T R YPA
-VA

Reviews

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Frequently asked questions

How do payers reference ASHLEY TAYLOR FENNELL (OD)?
For ASHLEY TAYLOR FENNELL (OD), use NPI 1235988098 as the unique 10-digit identifier.
Is ASHLEY TAYLOR FENNELL (OD) still an active registrant?
ASHLEY TAYLOR FENNELL (OD) carries an active NPI according to the public dataset.
What expertise is attributed to ASHLEY TAYLOR FENNELL (OD)?
ASHLEY TAYLOR FENNELL (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with ASHLEY TAYLOR FENNELL (OD)?
Directory geography for ASHLEY TAYLOR FENNELL (OD) centers on Boyers, Pennsylvania.
When was this NPI issued?
Enumeration for ASHLEY TAYLOR FENNELL (OD) is noted as May 15, 2024 where the registry provides it.

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