Individual provider Active NPI

Ashley F Marquardt, PAC

  • Physician Assistant
  • Anchorage, AK
National Provider Identifier
1427019587
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
534 Issued in AK
Practice address
4100 Lake Otis Pkwy
Ste. 322
Anchorage, AK 99508-5222
Phone
(907) 562-1234
Fax
(907) 561-8550
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 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 534 AK Primary

Addresses

Primary practice location

4100 Lake Otis Pkwy
Ste. 322
Anchorage, AK 99508-5222

Mailing address

2440 E Tudor Rd
PMB 1168
Anchorage, AK 99507-1185
Phone (907) 646-2559

Other identifiers 1

IdentifierTypeStateIssuer
534OtherAKLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20041216001087 AK Practitioner - Physician Assistant 8820055205 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
534AKMDMental Health Counselor
1290AKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Interior Community Health Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ashley.marquardt.p3@direct.cvr.nextgenshare.com
  • Direct secure messaging: ashley.marquardt.1@21088.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21088/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1427019587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 E TUDOR RD",
            "address_2": "PMB 1168",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071185",
            "telephone_number": "907-646-2559",
            "fax_number": "907-562-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LAKE OTIS PKWY",
            "address_2": "STE. 322",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085222",
            "telephone_number": "907-562-1234",
            "fax_number": "907-561-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUARDT",
        "first_name": "ASHLEY",
        "middle_name": "F",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "534",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.