Individual provider Active NPI

Ashley Grogan Bacheller, PA-C

  • Surgical Physician Assistant
  • Jacksonville, NC
National Provider Identifier
1134579584
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
255 Memorial Dr
Jacksonville, NC 28546-6333
Phone
(910) 353-7848
Fax
(910) 353-5052
NPI assigned
Jun 16, 2016
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X NU Primary

Addresses

Primary practice location

255 Memorial Dr
Jacksonville, NC 28546-6333

Mailing address

255 Memorial Dr
Jacksonville, NC 28546-6333

Other practice location 1

317 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 577-2345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 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
I20161004000372 NC Practitioner - Physician Assistant 7911295118 Reassigns benefits to 1 organization
I20260513000126 FL Practitioner - Physician Assistant 7911295118 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
Florida Urology Partners LLPGroup PAC ID 2062574924, 66 clinicians
Onslow Ambulatory Services IncGroup PAC ID 4587569256, 18 clinicians

Practice addresses (Care Compare)

2201 Central Ave
Suite 200
St Petersburg, FL 33713-8844
Phone (727) 822-9208

237 White St
Suite 1
Jacksonville, NC 28546-6351
Phone (910) 577-4968

255 Memorial Dr
Jacksonville, NC 28546-6333
Phone (910) 353-7848

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as group
Quality
90.05
Promoting interoperability
100
Improvement activities
40
Cost
75.04

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Onslow Ambulatory Services, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Onslow Ambulatory Services, Inc. CurrentSince Aug 1, 2016 Accepting new patients

Locations

241 New River Dr
Jacksonville, NC 28540
Phone (910) 577-2593

255 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-7848

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1134579584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 MEMORIAL DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 MEMORIAL DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466333",
            "telephone_number": "910-353-7848",
            "fax_number": "910-353-5052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 Western Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285466338",
            "country_code": "US",
            "telephone_number": "910-577-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACHELLER",
        "first_name": "ASHLEY",
        "middle_name": "GROGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.