NPIMap

Individual provider Active NPI

Ashley Pommer

  • Physician Assistant
  • Sioux Falls, SD
National Provider Identifier
1326608910
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2315 W 57TH St
Sioux Falls, SD 57108-5046
Phone
(605) 336-3503
Fax
(605) 336-6010
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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 Primary

Addresses

Primary practice location

2315 W 57TH St
Sioux Falls, SD 57108-5046

Mailing address

2315 W 57TH St
Sioux Falls, SD 57108-5046
Phone (605) 336-3503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200117002247 SD Practitioner - Physician Assistant 0941635213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Ear, Nose and Throat Associates P CGroup PAC ID 8729990940, 15 clinicians

Practice addresses (Care Compare)

2315 W 57TH St
Sioux Falls, SD 57108-5046
Phone (605) 336-3503

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1217SDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Dec 11, 2019 Accepting new patients
Avera McKennan CurrentSince Dec 11, 2019 Accepting new patients

Locations

911 E 20th St
Ste 509
Sioux Falls, SD 57105
Phone (605) 322-5800

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 and National Provider Directory roles.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1326608910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085046",
            "telephone_number": "605-336-3503",
            "fax_number": "605-336-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085046",
            "telephone_number": "605-336-3503",
            "fax_number": "605-336-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMMER",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.