Active NPI
Ashley Owens, PA-C
- Medical Physician Assistant
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA1770
- Practice address
- 975 Ryland St Ste 100
Reno, NV 89502-1669 - Phone
- (775) 982-5000
- Fax
- (775) 982-5225
- NPI assigned
- Aug 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA1770 | NV | Primary |
Addresses
Primary practice location
975 Ryland St Ste 100
Reno, NV 89502-1669
Mailing address
640 W Moana LN
Reno, NV 89509-4903
Phone (775) 324-0699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA1770 | Other | NV | PA-C LICENSURE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3640 Warren Way
Reno, NV 89509-5240
Phone (775) 324-0699
9672 S McCarran Blvd
Reno, NV 89523-9205
Phone (775) 324-0699
Hospital & facility affiliations
- Renown Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1770 | NV | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain West Derm-Blackhart, PLLC | Current | Accepting new patients | |
| Skin Cancer and Dermatology Institute | Current | Accepting new patients | |
| Mountain West Derm - Blackhart PLLC | Current | Accepting new patients |
Locations
3640 Warren Way
Ste 100
Reno, NV 89509
640 W Moana Ln
Reno, NV 89509
Phone (775) 882-8777
Interoperability endpoints
- aowens1@skincancerderm.emadirect.md
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- MOHS-Micrographic Surgery Physician
- Reno, NV
- NPI 1740633015
-
- MOHS-Micrographic Surgery Physician
- Carson City, NV
- NPI 1003905001
-
- Dermatology Physician
- Tigard, OR
- NPI 1316656994
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1932517299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1033663265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 W MOANA LN",
"city": "RENO",
"state": "NV",
"postal_code": "895094903",
"telephone_number": "775-324-0699",
"fax_number": "775-323-6814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 RYLAND ST STE 100",
"city": "RENO",
"state": "NV",
"postal_code": "895021669",
"telephone_number": "775-982-5000",
"fax_number": "775-982-5225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "ASHLEY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-04",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "PA1770",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA-C LICENSURE",
"identifier": "PA1770",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.