Active NPI
Ashley Lauren Bruce, PA
- Physician Assistant
- St Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 13638
- Practice address
- 6500 Excelsior Blvd
St Louis Park, MN 55426-4702 - Phone
- (952) 993-3282
- NPI assigned
- Apr 21, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 13638 | MN | Primary |
Addresses
Primary practice location
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Mailing address
8170 33Rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516
Other practice location 1
14160 Junkite St NW
Ramsey, MN 55303-4642
Phone (763) 498-1177
Other practice location 2
9855 Hospital Dr
Maple Grove, MN 55369-4648
Phone (952) 993-3282
Other practice location 3
295 Phalen Blvd
Saint Paul, MN 55130-2400
Phone (651) 495-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15800 95TH Ave N
Maple Grove, MN 55369-4400
Phone (952) 993-1440
5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone (952) 993-3123
9855 Hospital Dr
Maple Grove, MN 55369-4648
Phone (952) 993-4913
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health Plan, Inc. | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Regions Hospital | Past | Accepting new patients |
Locations
9855 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-5800
9855 Hospital Dr
Ste 275
Maple Grove, MN 55369
Phone (763) 981-3200
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
295 Phalen Blvd
Saint Paul, MN 55130
Phone (651) 254-3200
6500 Excelsior Blvd
St Louis Park, MN 55426
Phone (952) 993-3246
Organizations & group practices 6
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.
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1780621904
-
dba HealthPartners Medical Group
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
dba HealthPartners Well@Work-Anoka County
- Health Service Clinic/Center
- Anoka, MN
- NPI 1962704346
-
dba HealthPartners Midway Residency Dental
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1063897593
-
dba Regions Professional Group
- Emergency Medicine Physician
- Saint Paul, MN
- NPI 1154359917
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maple Grove, MN
- NPI 1174980692
-
dba Park Nicollet Methodist Hospital Outpatient Surgery Center
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1194113217
-
dba PN Methodist Hospital Episodic Bundle
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1245615772
-
dba Park Nicollet Melrose Center
- Mental Illness Community Based Residential Treatment Facility
- St Louis Park, MN
- NPI 1578717336
Hospital
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1649220724
-
dba Park Nicollet Melrose Center
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1942585286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1083234991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S # MS 21110Q",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554254516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 EXCELSIOR BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554264702",
"telephone_number": "952-993-3282"
}
],
"practiceLocations": [
{
"address_1": "14160 Junkite St NW",
"address_purpose": "LOCATION",
"city": "Ramsey",
"state": "MN",
"postal_code": "553034642",
"country_code": "US",
"telephone_number": "763-498-1177",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9855 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Maple Grove",
"state": "MN",
"postal_code": "553694648",
"country_code": "US",
"telephone_number": "952-993-3282",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "295 Phalen Blvd",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551302400",
"country_code": "US",
"telephone_number": "651-495-6600",
"fax_number": "952-883-9677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUCE",
"first_name": "ASHLEY",
"middle_name": "LAUREN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-21",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "13638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.