MRS. ASHLEY RENEE ELLENBERGER NP
NPI 1962019877
Nurse Practitioner - Family in Modesto, CA
NPI Status: Active since September 24, 2020
Contact Information
2401 E ORANGEBURG AVE STE 330
MODESTO, CA
ZIP 95355
Phone: (209) 724-6000
- Individual
- Female
- Nurse Practitioner
- Family
- Accepts Insurance
- PECOS Enrolled
About ASHLEY ELLENBERGER
This page provides the complete NPI Profile along with additional information for Ashley Ellenberger, a provider established in Modesto, California with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1962019877 assigned on September 2020. The practitioner's primary taxonomy code is 363LF0000X with license number 95033443 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1962019877
- Provider Name
- MRS. ASHLEY RENEE ELLENBERGER NP
- Other Name
- MS. ASHLEY R CHLUPACEK
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2401 E ORANGEBURG AVE STE 330 MODESTO, CA 95355
- Location Phone
- (209) 724-6000
- Mailing Address
- W233N8317 SEVEN IRON CIR SUSSEX, WI 53089
- Mailing Phone
- (414) 779-6757
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-24-2020
- Last Update Date
- 01-09-2025
- Code Navigator
A nurse practitioner (NP) like Ashley Ellenberger is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- W233N8317 Seven Iron Cir
Sussex, WI 53089
(414) 779-6757
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 95033443
- License State
- CA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 222614-30 (WI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Ashley Ellenberger is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up nursing facility visit per day, typically 15 minutes
Follow-up nursing facility visit per day, typically 25 minutes
Follow-up nursing facility visit per day, typically 35 minutes
Nursing facility discharge management, more than 30 minutes
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
This service was performed 53 times for 35 patientsA follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
This service was performed 362 times for 93 patientsA follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
This service was performed 132 times for 65 patientsNursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
This service was performed 23 times for 23 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 95355 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.32
- Minimum New Patient Price $58.87
- Maximum New Patient Price $176.6
- Average New Patient Copayment $22.58
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.15
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.36
- Minimum Established Patient Price $19.28
- Maximum Established Patient Price $144.6
- Average Established Patient Copayment $25.84
- Minimum Established Patient Copayment $4.82
- Maximum Established Patient Copayment $36.15
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 6 | 2 | 0 | 1 | 9 | 8 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 0 | 1 | 18 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 0 + 1 + 1 + 8 + 8 + 1 + 4 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1962019877 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366827479 | DR. SAPNA MALIK MBBS ,MD, MRCGP Individual | Family Medicine | 2401 E ORANGEBURG AVE STE 330 MODESTO, CA 95355 (209) 726-7381 |
| 1780639427 | DR. RICHELLE P CRUZ MD Individual | Family Medicine | 2401 E ORANGEBURG AVE STE 330 MODESTO, CA 95355 (866) 682-4842 |
| 1033502505 | MS. MANPREET KAUR SHEABAT PA Individual | Physician Assistant | 2401 E ORANGEBURG AVE STE 330 MODESTO, CA 95355 (209) 726-7381 |
| 1598302655 | GOLDEN VALLEY HEALTH CENTER Organization | Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | 2401 E ORANGEBURG AVE STE 330 MODESTO, CA 95355 (209) 724-6000 |
| 1689803686 | DR. MONICA SARAWAGI MBBS Individual | Family Medicine (Geriatric Medicine) | 2401 E ORANGEBURG AVE STE 330 MODESTO, CA 95355 (209) 724-6000 |
| 1427883115 | MR. JAMMIL PAGADUAN WATAN PT, DPT Individual | Physical Therapist | 2401 E ORANGEBURG AVE STE 330 MODESTO, CA 95355 (209) 724-6000 |
| 1417524059 | VIRGINIA TIFUH TAKU NP Individual | Nurse Practitioner (Family) | 2401 E ORANGEBURG AVE STE 330 MODESTO, CA 95355 (813) 599-1022 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962019877, enumerated in the NPI registry as an "individual" on September 24, 2020
The provider is located at 2401 E Orangeburg Ave Ste 330 Modesto, Ca 95355 and the phone number is (209) 724-6000
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $90.32 with an average copayment of $22.58 for new patient appointments. Established patients should expect a typical charge of $103.36 and an average copayment of 25.84. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Follow-up nursing facility visit per day, typically 15 minutes, Follow-up nursing facility visit per day, typically 25 minutes, Follow-up nursing facility visit per day, typically 35 minutes and Nursing facility discharge management, more than 30 minutes.
This NPI record was last updated on September 24, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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