Individual provider Active NPI

Ashley Ann Worthington

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1457825481
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10004414A Issued in IN
Practice address
7910 N Shadeland Ave
Indianapolis, IN 46250-2041
Phone
(317) 516-5000
NPI assigned
Jan 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 10004414A IN Primary

Addresses

Primary practice location

7910 N Shadeland Ave
Indianapolis, IN 46250-2041

Mailing address

150 N Michigan Ave Ste 1200
Chicago, IL 60601-7605
Phone (312) 263-4625

Other practice location 1

374 Larry Power Rd
Bourbonnais, IL 60914-5187
Phone (815) 933-2227

Other practice location 2

150 N Michigan Ave Ste 1200
Chicago, IL 60601-7605
Phone (312) 263-4625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190422000011 IL Practitioner - Physician Assistant 8325380447 Reassigns benefits to 2 organizations
I20240805003136 IN Practitioner - Physician Assistant 8325380447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Ohio Medical University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dawes Fretzin Dermatology Group, LLCGroup PAC ID 8820990872, 20 clinicians

Practice addresses (Care Compare)

7910 N Shadeland Ave
Indianapolis, IN 46250-2041
Phone (317) 516-5000

Merit-based Incentive Payment System (MIPS)

Final score
85.03 of 100Reported as group
Quality
68.51
Promoting interoperability
94
Improvement activities
40
Cost
86.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10004414AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalskin Medical Group Il PLLC Physician Assistant CurrentSince Sep 1, 2023 Accepting new patients
Major Hospital Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

374 Larry Power Rd
Bourbonnais, IL 60914
Phone (815) 933-2227

150 N Michigan Ave
Ste 1200
Chicago, IL 60601
Phone (312) 263-4625

917 Remington Rd
Mattoon, IL 61938
Phone (217) 205-3376

Interoperability endpoints

  • Direct secure messaging: aworthington@directaddress.net

Organizations & group practices 5

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": "1547251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1457825481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N MICHIGAN AVE STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017605",
            "telephone_number": "312-263-4625",
            "fax_number": "312-263-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502041",
            "telephone_number": "317-516-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "374 Larry Power Rd",
            "address_purpose": "LOCATION",
            "city": "Bourbonnais",
            "state": "IL",
            "postal_code": "609145187",
            "country_code": "US",
            "telephone_number": "815-933-2227",
            "fax_number": "815-933-5278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 N Michigan Ave Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606017605",
            "country_code": "US",
            "telephone_number": "312-263-4625",
            "fax_number": "312-263-5029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORTHINGTON",
        "first_name": "ASHLEY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-12",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004414A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.