Ashley Kelepolo, NP is a medicare enrolled "Nurse Practitioner - Family" in Saint Johns, Arizona. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice White Mountain Regional Medical Center and her current practice location is
625 N 13th W, Saint Johns, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 337-3000.
Ashley Kelepolo is licensed to practice in Arizona (license number F07211457) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790450229.
Provider's Profile
| Full Name | Ashley Kelepolo |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 625 N 13th W, Saint Johns, Arizona |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ashley Kelepolo graduated from nursing school in 2021
NPI Data:
- NPI Number: 1790450229
- Provider Enumeration Date: 08/16/2021
- Last Update Date: 08/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 3971900556
- Enrollment ID: I20210923003571
Medical Identifiers
Medical identifiers for Ashley Kelepolo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790450229 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 262356 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F07211457 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| White Mountain Regional Medical Center | 1951203512 | 16 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ashley Kelepolo allows following entities to bill medicare on her behalf.
| Entity Name | White Mountain Regional Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699766592
PECOS PAC ID: 1951203512
Enrollment ID: O20040123000416 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ashley Kelepolo is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Ashley Kelepolo, NP
714 W Airport Rd,
Springerville, AZ 85938-5013
Ph: (480) 258-0481 | Ashley Kelepolo, NP
625 N 13th W,
Saint Johns, AZ 85936-4986
Ph: (928) 337-3000 |
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