Individual provider Active NPI

Ashleigh Elizabeth Ledet, PA-C

  • Physician Assistant
  • Oshkosh, WI
National Provider Identifier
1386228716
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5421 Issued in WI
Practice address
2400 Witzel Ave Ste a
Oshkosh, WI 54904-8375
Phone
(920) 233-1540
Fax
(414) 386-4625
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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 5421 WI Primary

Addresses

Primary practice location

2400 Witzel Ave Ste a
Oshkosh, WI 54904-8375

Mailing address

2400 Witzel Ave Ste a
Oshkosh, WI 54904-8375
Phone (920) 233-1540

Other practice location 1

2500 E Capitol Dr # 1500
Appleton, WI 54911-8735
Phone (920) 358-1810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220819002617 AZ Practitioner - Physician Assistant 7012390255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Alabama College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dyson Dermatology, PLLCGroup PAC ID 0941450407, 3 clinicians

Practice addresses (Care Compare)

2222 N Craycroft Rd
Suite 100
Tucson, AZ 85712-2830
Phone (520) 838-0777

516 E Whitehouse Canyon Rd
Suite 100
Green Valley, AZ 85614-0542
Phone (520) 625-0800

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9199AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Plastic Surgery, S.C. CurrentSince Aug 3, 2024 Accepting new patients
Dyson Dermatology PLLC PastSince Feb 18, 2024 Accepting new patients
Memorial Hospital Inc PastSince May 16, 2021 Accepting new patients

Locations

2500 E Capitol Dr
#1500
Appleton, WI 54911
Phone (920) 358-1810

2400 Witzel Ave
Ste A
Oshkosh, WI 54904
Phone (920) 233-1540

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.

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1386228716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WITZEL AVE STE A",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549048375",
            "telephone_number": "920-233-1540",
            "fax_number": "414-386-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WITZEL AVE STE A",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549048375",
            "telephone_number": "920-233-1540",
            "fax_number": "414-386-4625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 E Capitol Dr # 1500",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549118735",
            "country_code": "US",
            "telephone_number": "920-358-1810",
            "fax_number": "920-358-1819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDET",
        "first_name": "ASHLEIGH",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "5421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

Verify at the official NPI Registry.