Ashley Spangler , APRN
Nurse Practitioner β’ Lewes, DE
1537 Savannah Rd Ste A
Lewes, DE 199581611
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
1537 Savannah Rd Ste A
Lewes, DE 199581611
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Open Payments general payments, program year 2025
All general payments: $174.63 across 5 records.
By nature of payment
- Food and Beverage: $174.63 across 5 records.
Reporting-company totals
- Galderma Laboratories, L.P.: $174.63 across 5 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
NPI first issued
2016
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Lewes and Delaware
43 active clinicians are listed under Nurse Practitioner with a practice address in Lewes, DE (547 in Delaware).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Lewes
20.9% of these 43 clinicians have the CMS telehealth indicator.
65.1% of these 43 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $69.64 in 2024 to $174.63 in 2025.
- 2024: $69.64
- 2025: $174.63
Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 β December 31, 2025): fewer than 11 records totaling $174.63.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Galderma Laboratories, L.P. |
Food and Beverage
In-kind items and services
|
β | General | $63.00 |
| Galderma Laboratories, L.P. |
Food and Beverage
In-kind items and services
|
β | General | $32.61 |
| Galderma Laboratories, L.P. |
Food and Beverage
In-kind items and services
|
β | General | $31.78 |
| Galderma Laboratories, L.P. |
Food and Beverage
In-kind items and services
|
β | General | $24.24 |
| Galderma Laboratories, L.P. |
Food and Beverage
In-kind items and services
|
DYSPORT | General | $23.00 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-08-19NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 163W00000X
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1537 SAVANNAH RD STE A, LEWES, DE 199581611 (Tel: 3024120135)
Registered at 6 N HORSESHOE DR, MILFORD, DE 199632103 (Tel: 3023817142)
Recorded as ASHLEY SPANGLER, APRN
NPI status registered as active in NPPES database
Registered at 424 SAVANNAH RD, LEWES, DE 199581462 (Tel: 3026453300)
Registered at 15201 ABBOTTS POND RD, GREENWOOD, DE 199504908 (Tel: 3023817142)
Recorded as ASHLEY SPANGLER, RN
Registered Nurse (license number reported to NPPES: DE L1-0047841)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Lewes
- Denise Tetzner, FNP-C
- Joanna Robertson, FNP
- Ellen Purple, FNP
- Lydia Martin, APRN, FNP
- Lauren Trapp, AGACNP-BC
- Kimberly Beddow
Mailing Address
6 N Horseshoe Dr
Milford, DE 199632103
Phone: 3023817142