Active NPI
Ashley Marie Mulder, MD
- Family Medicine Physician
- Lake Havasu City, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 69006
- Practice address
- 1851 Mesquite Ave Ste 202
Lake Havasu City, AZ 86403-5681 - Phone
- (928) 854-0094
- Fax
- (928) 680-8986
- NPI assigned
- Apr 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 69006 | AZ | Primary |
Addresses
Primary practice location
1851 Mesquite Ave Ste 202
Lake Havasu City, AZ 86403-5681
Mailing address
1851 Mesquite Ave Ste 202
Lake Havasu City, AZ 86403-5681
Phone (928) 854-0094
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141544 | Medicaid | AZ |
Other names 1
- Ashley Marie Desmarais
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arizona College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
285 Lake Havasu Ave S
Suite 100
Lake Havasu City, AZ 86403-0852
Phone (928) 208-4598
Hospital & facility affiliations
- Havasu Regional Medical Center Home Health
- River Valley Home Health
- Havasu Regional Medical Center
- Kingman Regional Medical Center
- La Paz Regional Hospital
- Valley View Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.85 of 100
- Quality
- 60.31
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 78.37
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 27 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69006 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prescott Healthcare Solutions LLC | Family Medicine | Current | Accepting new patients |
| Raghav LLC | Current | Accepting new patients | |
| Lakeside Heart and Vascular Center PLLC | Current | Accepting new patients |
Locations
2500 Canyon Rd
Ste A1
Bullhead City, AZ 86442
Phone (928) 704-4499
309 Lake Havasu Ave S
Lake Havasu City, AZ 86403
Phone (928) 453-1970
285 Lake Havasu Ave S
Ste 100
Lake Havasu City, AZ 86403
Phone (928) 208-4598
2010 Injo Dr
Lk Havasu Cty, AZ 86403
Phone (623) 227-1000
1987 McCulloch Blvd N
Ste 101
Lk Havasu Cty, AZ 86403
Phone (904) 994-5560
1810 Mesquite Ave
Ste A
Lk Havasu Cty, AZ 86403
Phone (520) 855-5146
2035 Mesquite Ave
Lk Havasu Cty, AZ 86403
Phone (928) 208-4598
2082 Mesquite Ave
Ste 100A
Lk Havasu Cty, AZ 86403
Phone (928) 453-2828
3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583
Interoperability endpoints
- ashley.desmarais.1@3291.direct.athenahealth.com
- https://api.platform.athenahealth.com/3291/brand/1/csg/1/fhir/r4
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.
-
- Family Medicine Physician
- Prescott, AZ
- NPI 1821454505
-
- Interventional Cardiology Physician
- Lake Havasu City, AZ
- NPI 1801194352
-
- Multi-Specialty Clinic/Center
- Surprise, AZ
- NPI 1598125791
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lake Havasu City, AZ
- NPI 1487190658
-
- Rural Acute Care Hospital
- Lake Havasu City, AZ
- NPI 1780761866
-
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
-
- Critical Access Hospital
- Parker, AZ
- NPI 1053684555
-
- Home Health Agency
- Lake Havasu City, AZ
- NPI 1578947842
-
- General Acute Care Hospital
- Fort Mohave, AZ
- NPI 1811086994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1104455989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1851 MESQUITE AVE STE 202",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864035681",
"telephone_number": "928-854-0094",
"fax_number": "928-680-8986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1851 MESQUITE AVE STE 202",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864035681",
"telephone_number": "928-854-0094",
"fax_number": "928-680-8986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULDER",
"first_name": "ASHLEY",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-03",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "69006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141544",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "DESMARAIS",
"middle_name": "MARIE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lake Havasu City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.