ASHLEY CUPP – Gerontology Nurse Practitioner, NPI 1417309907

ASHLEY CUPP is a healthcare provider. based in Christiansburg, Virginia. specializing in NURSE PRACTITIONER. They hold a License No. 0001217039 (VA). The NPI Number for ASHLEY CUPP is 1417309907

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
ASHLEY CUPP
NPI
1417309907
Phone
(540) 320-0710
Address
150 ASH DR
Enumeration Date
7 July 2016
Last Update Date
9 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5408282634
Graduation Year
2008 (18 years ago)
PAC ID
7517246937
Group Practice PAC ID
5890607253
Professional Enrollment ID
I20161108000157
Address ID
VA228129511BR100XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

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Provider Addresses for ASHLEY CUPP

  • 150 ASH DR

    CHRISTIANSBURG, VA 240734502

    Phone: (540) 320-0710

    Type: Mailing

  • Carrollton Pike, Browns Store, Carroll County, Virginia, 24343, United States

    WOODLAWN, VA 243813034

    Phone: (276) 601-6197

    Type: Location

  • 801 E MAIN ST

    RADFORD, VA 241420001

    Phone: (540) 831-5111

    Type: Location

  • 6701 Peters Creek Rd Ste 110

    Roanoke, VA 240194060

    Phone: (800) 765-7130

    Fax: (888) 500-1891

    Type: Location

  • 213 S JEFFERSON ST STE 1006

    ROANOKE, VA 240111713

    Phone: (540) 224-5353

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-11-08

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
I20161108000157INurse PractitionerVATBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,253297$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes769188$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes661184$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes530186$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit140140$0
View full utilization report →

Insurance plans in this area (ZIP 24073)

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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: 5890607253View full group profile

Reviews

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Frequently asked questions

Is ASHLEY CUPP listed with a National Provider Identifier?
Yes — ASHLEY CUPP has NPI 1417309907 on file in the registry.
Is there an active status for ASHLEY CUPP?
For scheduling context, ASHLEY CUPP is shown as active in the registry.
What expertise is attributed to ASHLEY CUPP?
ASHLEY CUPP's specialty line reads Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ASHLEY CUPP located near Christiansburg?
ASHLEY CUPP currently maps to Christiansburg, Virginia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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