Individual provider Active NPI

Ashlyn Kay Peterson, PA

  • Physician Assistant
  • Alexandria, MN
National Provider Identifier
1154050292
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
111 17TH Ave E Ste 101
Alexandria, MN 56308-5274
Phone
(320) 762-1144
Fax
(320) 762-1935
NPI assigned
Jun 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 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 MN Primary

Addresses

Primary practice location

111 17TH Ave E Ste 101
Alexandria, MN 56308-5274

Mailing address

111 17TH Ave E Ste 101
Alexandria, MN 56308-5274
Phone (320) 762-1144

Other practice location 1

2609 Cenex Dr Ste 108
Fergus Falls, MN 56537-1149
Phone (320) 762-1144

Other practice location 2

2800 1st St S Ste 220
Willmar, MN 56201-4404
Phone (320) 214-7355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231003001493 MN Practitioner - Physician Assistant 0840644340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alomere HealthGroup PAC ID 9931690047, 123 clinicians

Practice addresses (Care Compare)

2800 1St St S
Suite 220
Willmar, MN 56201-4404
Phone (320) 214-7355

Hospital & facility affiliations

  • Alomere Health Hospital, Alexandria, MN, CCN 240030
  • Glacial Ridge Hospital Hospital, Glenwood, MN, CCN 241376

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Medical Center CurrentSince Feb 1, 2025 Accepting new patients
West Central Pathology and Laboratory Medicine PA Current Accepting new patients
Alomere Health CurrentSince Jan 1, 2026 Accepting new patients
Alomere Health CurrentSince Jan 1, 2026 Accepting new patients
Douglas County Hospital Past Accepting new patients
St. Francis Medical Center Past Accepting new patients
St Francis Medical Center Past Accepting new patients

Locations

3293 Solutions Ctr
Chicago, IL 60677

111 17th Ave E
Ste 101
Alexandria, MN 56308
Phone (320) 762-1144

111 17th Ave E
Alexandria, MN 56308
Phone (320) 762-1511

1500 Irving St
Alexandria, MN 56308
Phone (320) 762-0857

2400 St Francis Dr
Breckenridge, MN 56520
Phone (218) 643-0226

2609 Cenex Dr
Ste 108
Fergus Falls, MN 56537
Phone (218) 736-4098

2800 1st St S
Ste 220
Willmar, MN 56201
Phone (320) 214-7355

Interoperability endpoints

  • Direct secure messaging: ashlynguggisberg@normd.allscriptsdirect.net
  • Direct secure messaging: aguggisberg811063@direct.centracare.com

Organizations & group practices 8

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 2

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": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1154050292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 17TH AVE E STE 101",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563085274",
            "telephone_number": "320-762-1144",
            "fax_number": "320-762-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 17TH AVE E STE 101",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563085274",
            "telephone_number": "320-762-1144",
            "fax_number": "320-762-1935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2609 Cenex Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Fergus Falls",
            "state": "MN",
            "postal_code": "565371149",
            "country_code": "US",
            "telephone_number": "320-762-1144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 1st St S Ste 220",
            "address_purpose": "LOCATION",
            "city": "Willmar",
            "state": "MN",
            "postal_code": "562014404",
            "country_code": "US",
            "telephone_number": "320-214-7355",
            "fax_number": "320-214-7356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ASHLYN",
        "middle_name": "KAY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

Verify at the official NPI Registry.