NPIMap

Individual provider Active NPI

Ashley M Kentoski, PA

  • Physician Assistant
  • Du Bois, PA
National Provider Identifier
1457580193
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA053865 Issued in PA
Practice address
90 Beaver Dr Ste 215D
Du Bois, PA 15801-2442
Phone
(814) 503-8368
Fax
(814) 503-8562
NPI assigned
Jul 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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 MA053865 PA Primary

Addresses

Primary practice location

90 Beaver Dr Ste 215D
Du Bois, PA 15801-2442

Mailing address

90 Beaver Dr Ste 215D
Du Bois, PA 15801-2442
Phone (814) 503-8368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090824000680 PA Practitioner - Physician Assistant 2860546900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clearfield-Jefferson Primary Care Associates PCGroup PAC ID 6002064433, 73 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

1 E 4TH St
Emporium, PA 15834-1468
Phone (814) 503-8070

205 Hampton Ave
Punxsutawney, PA 15767-2133
Phone (814) 938-0148

33 Beaver Dr
Suite 1
Du Bois, PA 15801-2434
Phone (814) 503-8070

Hospital & facility affiliations

  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
  • Penn Highlands Elk Hospital, Saint Marys, PA, CCN 391315
  • Penn Highlands Connellsville Hospital, Connellsville, PA, CCN 390184

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center Physician Assistant Past Accepting new patients

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.

Hospital & facility affiliations 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1457580193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BEAVER DR STE 215D",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012442",
            "telephone_number": "814-503-8368",
            "fax_number": "814-503-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BEAVER DR STE 215D",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012442",
            "telephone_number": "814-503-8368",
            "fax_number": "814-503-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENTOSKI",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.