ASHLEY D HARTZOG (PA) – Physician Assistant, NPI 1184643868
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
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Provider Addresses for ASHLEY D HARTZOG (PA)
3645, Western Center Boulevard, Fort Worth, Tarrant County, Texas, 76137, United States
FORT WORTH, TX 761371936
Phone: (817) 232-9767
Fax: (817) 232-9102
Type: Location
3645 Western Center Blvd
Fort Worth, TX 761371944
Phone: (817) 232-9767
Fax: (817) 232-9102
Type: Location
P.O. BOX 961205
FORT WORTH, TX 761611205
Phone: (817) 740-8400
Fax: (817) 378-3699
Type: Mailing
3061 W SOUTHLAKE BLVD STE 130
SOUTHLAKE, TX 760920314
Phone: (817) 928-3335
Fax: (817) 928-3169
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $1,336.
Total Amount is formed as General ($1,336) + Research ($0) + Ownership ($0) = $1,336.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($440).
Total Amount
$1,336
General + Research + Ownership
Payments
34
Total payment records
General Amount
$1,336
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
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $440 |
| Novo Nordisk Inc | $260 |
| Corcept Therapeutics | $129 |
| Lilly USA, LLC | $112 |
| Corium, LLC | $72 |
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: 2006-03-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060330000157 | I | Physician Assistant | TX | TBD |
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.
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 76137)
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