Ashley Anne Hamstra, M.D.

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

MD60630664 Issued in WA

Practice address

2110 N Molter Rd Ste 112
Liberty Lake, WA 99019-9811

Phone

(208) 277-9704

Fax

(208) 277-9704

NPI assigned

Dec 20, 2011

Last updated

Apr 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

DermatologyAlso: Pathology

Education

Loma Linda University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evergreen Dermatopathology PLLCGroup PAC ID 9335508787, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Evergreen Dermatopathology PLLC

  • Dermatopathology (Pathology) Physician
  • Liberty Lake, WA
  • NPI 1700581170
  Medicare reassignment Care Compare group NPD Authorized official
• Evergreen Dermatopathology LLC

  • Dermatopathology Physician
  • Coeur d'Alene, ID
  • NPI 1174187165
  Authorized official Same address or phone

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1316216369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 N MOLTER RD STE 112",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990199811",
            "telephone_number": "208-277-9704",
            "fax_number": "208-277-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 N MOLTER RD STE 112",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990199811",
            "telephone_number": "208-277-9704",
            "fax_number": "208-277-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMSTRA",
        "first_name": "ASHLEY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD60630664",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ID",
            "license": "M13198",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "WA",
            "license": "MD60630664",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "ID",
            "license": "M13198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Tyler Gufford, PHARMD
• Magdalena J Haigh, ARNP
• Halcyon RX Inc (Medicine Man Liberty Lake)
• Halcyon RX Inc (Medicine Man Liberty Lake)
• Morgan J Hammelev, LMT
• Samantha K Hanson, LMT
• Julie Harnack
• Phillip Wayne Harris, LMP
• Nekol Antoinette Hatley, PMHNP
• Jennifer R Havens, DMD

• Dermatopathology Physician in Liberty Lake, WA
• Providers in Liberty Lake, WA by specialty
• Dermatopathology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.