Individual provider Active NPI

Ashley Lucille Dahl, PA-C

  • Physician Assistant
  • Phoenixville, PA
National Provider Identifier
1164246880
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA065889 Issued in PA
Practice address
507 Kimberton Rd
Phoenixville, PA 19460-4745
Phone
(610) 243-9117
NPI assigned
Nov 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

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 MA065889 PA Primary

Addresses

Primary practice location

507 Kimberton Rd
Phoenixville, PA 19460-4745

Mailing address

1011 Montgomery Ave Apt R
Bryn Mawr, PA 19010-2843
Phone (325) 716-9643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250220001752 PA Practitioner - Physician Assistant 5294255261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Hospitalists LLCGroup PAC ID 4385872290, 10 clinicians

Practice addresses (Care Compare)

507 Kimberton Rd
Phoenixville, PA 19460-4745
Phone (484) 429-2351

8835 Germatown Ave
Chestnut Hill Hospital
Philadelphia, PA 19118-2718
Phone (215) 248-8508

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA065889PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Urgent Care LLC CurrentSince Apr 20, 2025 Accepting new patients

Locations

507 Kimberton Rd
Phoenixville, PA 19460
Phone (610) 243-9117

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1731110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1164246880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 MONTGOMERY AVE APT R",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102843",
            "telephone_number": "325-716-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 KIMBERTON RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604745",
            "telephone_number": "610-243-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "ASHLEY",
        "middle_name": "LUCILLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-09",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.