Individual provider Active NPI

Ashley Beaudry

  • Physician Assistant
  • Escanaba, MI
National Provider Identifier
1023570983
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601009496 Issued in MI
Practice address
710 S Lincoln Rd
Escanaba, MI 49829-1292
Phone
(906) 786-4628
NPI assigned
Apr 1, 2019
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601009496 MI Primary

Addresses

Primary practice location

710 S Lincoln Rd
Escanaba, MI 49829-1292

Mailing address

7826 Lake Bluff 19.4 Rd
Gladstone, MI 49837-2443
Phone (906) 280-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190725001509 MI Practitioner - Physician Assistant 2567798739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1414 W Fair Ave
Marquette, MI 49855-2675

710 S Lincoln Rd
Escanaba, MI 49829-1293

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Marquette Physician Practices Inc CurrentSince Jul 1, 2019 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Jul 1, 2019 Accepting new patients
DLP Marquette Physician Practices Inc Medical Past Accepting new patients
DLP Marquette Physician Practices Inc Physician Assistant Past Accepting new patients

Locations

710 S Lincoln Rd
Ste 100
Escanaba, MI 49829
Phone (906) 786-4628

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: ashley.beaudry.1@8233.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8233/brand/6/csg/22/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1023570983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7826 LAKE BLUFF 19.4 RD",
            "city": "GLADSTONE",
            "state": "MI",
            "postal_code": "498372443",
            "telephone_number": "906-280-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S LINCOLN RD",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291292",
            "telephone_number": "906-786-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDRY",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escanaba, MI

Sources for this page

Verify at the official NPI Registry.