Individual provider Active NPI

Ashley Elizabeth Knight, PA-C

  • Physician Assistant
  • Evergreen Park, IL
National Provider Identifier
1346887387
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.007400 Issued in IL
Practice address
9760 S Kedzie Ave
Evergreen Park, IL 60805-3109
Phone
(708) 423-6209
NPI assigned
Dec 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 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 085.007400 IL Primary

Addresses

Primary practice location

9760 S Kedzie Ave
Evergreen Park, IL 60805-3109

Mailing address

10604 S Homan Ave
Chicago, IL 60655-2527
Phone (708) 207-8127

Other names 1

  • Ashley Elizabeth Rogers Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240122004290 IL Practitioner - Physician Assistant 3779935093 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085.007400ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tca Health Inc NFP CurrentSince Dec 10, 2023 Accepting new patients
Evergreen Care Center LTD CurrentSince Mar 10, 2026 Accepting new patients

Locations

1029 E 130th St
Chicago, IL 60628
Phone (773) 995-6300

9760 S Kedzie Ave
Ste 3
Evergreen Pk, IL 60805
Phone (708) 423-6209

9760 S Kedzie Ave
Ste 2
Evergreen Pk, IL 60805
Phone (708) 423-8150

9760 S Kedzie Ave
Evergreen Pk, IL 60805
Phone (708) 423-2660

Interoperability endpoints

  • Direct secure messaging: ashley.knight.1@27901.direct.athenahealth.com

Organizations & group practices 3

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": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1346887387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10604 S HOMAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552527",
            "telephone_number": "708-207-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9760 S KEDZIE AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053109",
            "telephone_number": "708-423-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.007400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "ROGERS",
            "middle_name": "ELIZABETH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Evergreen Park, IL

Sources for this page

Verify at the official NPI Registry.