Individual provider Active NPI

Robert Flannery, PA-S

  • Physician Assistant
  • Ashland, PA
National Provider Identifier
1114654191
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA064089P Issued in PA
Practice address
8 Pine St
Ashland, PA 17921-9585
Phone
(570) 590-0445
NPI assigned
Aug 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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 MA064089P PA Primary

Addresses

Primary practice location

8 Pine St
Ashland, PA 17921-9585

Mailing address

1089 W Ashland Ave
Glenolden, PA 19036-1125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, AK, ND, TX, MT5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20250813000178 MN Practitioner - Physician Assistant 2365813052 Reassigns benefits to 1 organization
I20250902003191 AK Practitioner - Physician Assistant 2365813052 Reassigns benefits to 2 organizations
I20250911000272 ND Practitioner - Physician Assistant 2365813052 Reassigns benefits to 1 organization
I20251030002108 TX Practitioner - Physician Assistant 2365813052 Reassigns benefits to 2 organizations
I20260415002139 MT Practitioner - Physician Assistant 2365813052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peterson Medical Clinics LLCGroup PAC ID 9335412220, 91 clinicians
Yukon-Kuskokwim Health CorporationGroup PAC ID 5193718765, 24 clinicians

Practice addresses (Care Compare)

Ashland, PA 17921
Phone (701) 205-3000

123 3Rd Ave E
Suite 300
Alexandria, MN 56308-1998
Phone (701) 205-3000

1408 20TH Ave SW
Suite 5
Minot, ND 58701-6494
Phone (701) 205-3000

3674 S Washington St
Grand Forks, ND 58201-5766
Phone (701) 205-3000

4501 15TH Ave SW
Suite 105
Fargo, ND 58103-8956
Phone (701) 205-3000

519 Anne St NW
Suite a
Bemidji, MN 56601-4277
Phone (701) 205-3000

602 E Ash Ave
Glen Ullin, ND 58631-7138
Phone (701) 205-3000

700 Chief Eddie Hoffman Hwy
Suite 528
Bethel, AK 99559-3427
Phone (907) 545-6928

705 Pleasant Ave S
Park Rapids, MN 56470-1440
Phone (701) 205-3000

960 S 24TH St W
Suite H
Billings, MT 59102-6450
Phone (701) 205-3000

PO Box
Suite 3427
Bethel, AK 99559-3427

Hospital & facility affiliations

  • Norton Sound Regional Hospital Hospital, Nome, AK, CCN 021308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation Current Accepting new patients
Yukon-Kuskokwim Health Corporation Physician Assistant Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Yukon Kuskokwim Health Corporation CurrentSince Aug 15, 2025 Accepting new patients
Norton Sound Health Corporation CurrentSince Aug 15, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Jan 26, 2026 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Norton Sound Health Corporation Physician Assistant CurrentSince Aug 15, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Jan 26, 2026 Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Yukon Kuskokwim Health Corporation CurrentSince Aug 15, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1114654191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 W ASHLAND AVE",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "190361125",
            "fax_number": "701-732-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PINE ST",
            "city": "ASHLAND",
            "state": "PA",
            "postal_code": "179219585",
            "telephone_number": "570-590-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANNERY",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-01",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064089P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, PA

Sources for this page

Verify at the official NPI Registry.