Jennifer L. Ashline, PA
Individual provider Active NPI Physician Assistant · Burlington, VT
NPI 1275972713 · NPPES record last updated Aug 24, 2016
Key facts
- NPI
- 1275972713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 055.0031303 (VT)
- Practice address
- 354 Mountain View Dr., #103
Uvm Medical Center, Surgery/Plastics
Burlington, VT 05401 - Phone
- (802) 847-3340
- Fax
- (802) 847-7083
- NPI assigned
- Jun 18, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Vermont Medical Center Inc
Practice addresses (Care Compare)
1 S Prospect St
Burlington, VT 05401-3456
Phone (802) 847-0000
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
790 College Pkwy
Colchester, VT 05446-3007
Phone (802) 847-0000
Hospital & facility affiliations
- Univ. of Vermont - Fletcher Allen Health Care
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161006001688 | VT | Practitioner - Physician Assistant | 4981827573 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont Medical Center Inc | Current |
Accepting new patients | |
| Fletcher Allen Health Care Inc | Past | Accepting new patients |
Locations
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
354 Mountain View Dr
Ste 103
Colchester, VT 05446
Phone (802) 847-3340
Interoperability endpoints
- jashline139154@direct.uvmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 055.0031303 | VT | Yes |
Addresses
Primary practice location
354 Mountain View Dr., #103
Uvm Medical Center, Surgery/Plastics
Burlington, VT 05401
Mailing address
354 Mountain View Dr., #103
Uvm Medical Center, Surgery/Plastics
Burlington, VT 05401
Phone (802) 847-3340
Other providers in Burlington, VT
- Noelle Christine Arthur
- Erika Aryal
- Kym Asam
- Eileen T Ashe
- Charles Warner Ashley
- Rebecca Ann Aslakson
- Associates in Chiropractic & Kinesiology
- Associates in Dentistry Inc
- Associates in Gastroenterology, PC
- Associates in Periodontics, PLC
All providers in Burlington, VT · Physician Assistant in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.