Individual provider Active NPI

Ashleigh Elizabeth Misson, PA-C

  • Physician Assistant
  • Maplewood, MN
National Provider Identifier
1104254192
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11494 Issued in MN
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

Updated by the provider on Mar 17, 2018

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 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

IdentifierTypeStateIssuer
1104254192MedicaidMN

Other names 1

  • Ashleigh Elizabeth Henning Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 PAGroup PAC ID 6709799752, 131 clinicians

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

OrganizationSpecialtyStatusNew patients
Minnesota Oncology Hematology PA CurrentSince Sep 8, 2025 Accepting new patients
Minnesota Oncology Hematology, PA CurrentSince Sep 8, 2025 Accepting new patients
Minnesota Oncology Hematology, PA CurrentSince Sep 8, 2025 Accepting new patients
Minnesota Oncology Hematology, PA Past Accepting new patients
Minnesota Oncology Hematology, PA PastSince Jan 12, 2020 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.

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

Verify at the official NPI Registry.