Active NPI
Ashleigh Elizabeth Misson, PA-C
- Physician Assistant
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11494
- Practice address
- 2480 White Bear Ave N Ste 104
Maplewood, MN 55109-4568 - Phone
- (612) 444-3247
- Fax
- (651) 888-9247
- NPI assigned
- Oct 29, 2013
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11494 | MN | Primary |
Addresses
Primary practice location
2480 White Bear Ave N Ste 104
Maplewood, MN 55109-4568
Mailing address
2480 White Bear Ave
Suite 104
Maplewood, MN 55109
Other practice location 1
1880 Livingston Ave Ste 102
Saint Paul, MN 55118-3426
Phone (612) 444-3247
Other practice location 2
8325 City Centre Dr Ste 140
Woodbury, MN 55125-3323
Phone (612) 444-3247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104254192 | Medicaid | MN |
Other names 1
- Ashleigh Elizabeth Henning
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131217000819 | MN | Practitioner - Physician Assistant | 0941437032 | Reassigns benefits to 1 organization |
| I20250814003764 | WI | Practitioner - Physician Assistant | 0941437032 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Minnesota Oncology Hematology PA
Practice addresses (Care Compare)
2651 Hillcrest Dr
Hudson, WI 54016-9919
Phone (715) 531-6800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Oncology Hematology PA | Current | Accepting new patients | |
| Minnesota Oncology Hematology, PA | Current | Accepting new patients | |
| Minnesota Oncology Hematology, PA | Current | Accepting new patients | |
| Minnesota Oncology Hematology, PA | Past | Accepting new patients | |
| Minnesota Oncology Hematology, PA | Past | Accepting new patients |
Locations
1175 Paysphere Cir
Chicago, IL 60674
675 E Nicollet Blvd
Ste 100
Burnsville, MN 55337
Phone (952) 435-8516
110105 Pioneer Trl W
Ste 302
Chaska, MN 55318
Phone (952) 361-5800
10150 Niagara Ln N
#100
Maple Grove, MN 55369
Phone (763) 220-1316
6545 France Ave S
Ste 210
Minneapolis, MN 55435
Phone (952) 928-2900
910 E 26th St
Ste 200
Minneapolis, MN 55404
Phone (612) 884-6300
11850 Blackfoot St NW
Ste 100
Minneapolis, MN 55433
Phone (763) 712-2100
2805 Campus Dr
Ste 105
Plymouth, MN 55441
Phone (763) 519-7440
2550 University Ave W
Ste 110N
Saint Paul, MN 55114
Phone (651) 602-5309
1580 Beam Ave
Saint Paul, MN 55109
Phone (651) 255-8480
310 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 251-5500
560 S Maple St
Ste 100
Waconia, MN 55387
Phone (952) 442-6006
6025 Lake Rd
Ste 110
Woodbury, MN 55125
Phone (651) 735-7414
2651 Hillcrest Dr
Ste 105
Hudson, WI 54016
Phone (715) 280-9151
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.
-
- Hematology & Oncology Physician
- Saint Paul, MN
- NPI 1528035995
MN, WI
-
- Clinic Pharmacy
- Maplewood, MN
- NPI 1144281304
-
- Community/Retail Pharmacy
- Maple Grove, MN
- NPI 1811601123
-
- Hematology & Oncology Physician
- Burnsville, MN
- NPI 1467595868
-
- Radiation Oncology Physician
- Saint Paul, MN
- NPI 1598305427
-
- Hematology & Oncology Physician
- Saint Paul, MN
- NPI 1609911205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1104254192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 WHITE BEAR AVE",
"address_2": "SUITE 104",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "55109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 WHITE BEAR AVE N STE 104",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551094568",
"telephone_number": "612-444-3247",
"fax_number": "651-888-9247"
}
],
"practiceLocations": [
{
"address_1": "1880 Livingston Ave Ste 102",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551183426",
"country_code": "US",
"telephone_number": "612-444-3247",
"fax_number": "611-288-8924",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8325 City Centre Dr Ste 140",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "MN",
"postal_code": "551253323",
"country_code": "US",
"telephone_number": "612-444-3247",
"fax_number": "612-888-9247",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISSON",
"first_name": "ASHLEIGH",
"middle_name": "ELIZABETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "11494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104254192",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEIGH",
"last_name": "HENNING",
"middle_name": "ELIZABETH",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.