NPIMap

Individual provider Active NPI

Ashley Martinmaas, PA-C

  • Physician Assistant
  • Sioux Falls, SD
National Provider Identifier
1134578289
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1000 E 23Rd St Ste 230
Sioux Falls, SD 57105-2122
Phone
(605) 322-6900
Fax
(605) 322-3763
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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 Primary

Addresses

Primary practice location

1000 E 23Rd St Ste 230
Sioux Falls, SD 57105-2122

Mailing address

1000 E 23Rd St Ste 230
Sioux Falls, SD 57105-2122
Phone (605) 322-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180516000131 SD Practitioner - Physician Assistant 2668751223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1000 E 23Rd St
Sioux Falls, SD 57105-2122

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1129SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Apr 16, 2018 Accepting new patients
Avera McKennan CurrentSince Apr 16, 2018 Accepting new patients
Avera McKennan Physician Assistant Past Accepting new patients
Rhode Island Hospital Past Accepting new patients

Locations

400 22nd Ave
Brookings, SD 57006
Phone (605) 692-6236

1000 E 23rd St
Ste 230
Sioux Falls, SD 57105
Phone (605) 322-6900

Organizations & group practices 5

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.

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1134578289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 23RD ST STE 230",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052122",
            "telephone_number": "605-322-6900",
            "fax_number": "605-322-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 23RD ST STE 230",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052122",
            "telephone_number": "605-322-6900",
            "fax_number": "605-322-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINMAAS",
        "first_name": "ASHLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.