Individual provider Active NPI

Ashley Clark, PA-C

  • Physician Assistant
  • Hershey, PA
National Provider Identifier
1386190643
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA058253 Issued in PA
Practice address
30 Hope Dr
Suite 1200
Hershey, PA 17033-2036
Phone
(717) 531-3828
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA.0009148 CO
Physician Assistant 363A00000X MA058253 PA Primary

Addresses

Primary practice location

30 Hope Dr
Suite 1200
Hershey, PA 17033-2036

Mailing address

2171 Versailles Dr.
Harrisburg, PA 17112-1481
Phone (702) 885-1654

Other practice location 1

2222 N Nevada Ave Ste 5001
Colorado Springs, CO 80907-6865
Phone (719) 776-3580

Other names 1

  • Ashley Roberta Mayfield Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250513002110 CO Practitioner - Physician Assistant 4789972779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

2222 N Nevada Ave
Colorado Springs, CO 80907-6819

2222 N Nevada Ave
Colorado Springs, CO 80907-6865

41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780

Hospital & facility affiliations

  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031
  • St Mary-Corwin Hospital Hospital, Pueblo, CO, CCN 060012
  • St Francis Hospital - Interquest Hospital, Colorado Springs, CO, CCN 060133
  • Mercy Regional Medical Center Hospital, Durango, CO, CCN 060013
  • San Luis Valley Regional Medical Center Hospital, Alamosa, CO, CCN 060008

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0009148COMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Jul 1, 2025 Accepting new patients
The Milton S. Hershey Medical Center Physicians Group CurrentSince Aug 24, 2016 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jul 1, 2025 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Aug 24, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

2222 N Nevada Ave
Ste 4007
Colorado Springs, CO 80907
Phone (719) 634-6671

2222 N Nevada Ave
Ste 5001
Colorado Springs, CO 80907
Phone (719) 776-3580

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

30 Hope Dr
Ste 1200
Hershey, PA 17033
Phone (717) 531-3828

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
#A4
Hershey, PA 17033
Phone (717) 531-6261

Organizations & group practices 7

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 11

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

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1386190643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 VERSAILLES DR.",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121481",
            "telephone_number": "702-885-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HOPE DR",
            "address_2": "SUITE 1200",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332036",
            "telephone_number": "717-531-3828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 N Nevada Ave Ste 5001",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809076865",
            "country_code": "US",
            "telephone_number": "719-776-3580",
            "fax_number": "719-776-3599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ASHLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2025-05-05",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0009148",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "MAYFIELD",
            "middle_name": "ROBERTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.