Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ashley Kelepolo, NP

Individual provider Family Nurse Practitioner · NPI 1790450229

Ashley Kelepolo, NP is a Nurse Practitioner in Saint Johns, Arizona. Qualified in 2021, 5 years ago. Practices with White Mountain Regional Medical Center, a 16-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

625 N 13th W
Saint Johns, AZ 85936-4986
Phone: (928) 337-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F07211457 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 262356 (AZ)

Record details

NPI number1790450229
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedAugust 16, 2021
Last updated in NPPESAugust 16, 2021
Certification dateAugust 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice White Mountain Regional Medical Center — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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