Ashley Lynn Ingersoll, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

275 S Aspen St Stop 89
Buckley Afb, CO 80011-9562

Phone

(720) 847-6486

NPI assigned

Jul 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley Lynn Jensen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1457979742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MISSILE AVE",
            "city": "MINOT AFB",
            "state": "ND",
            "postal_code": "58705",
            "telephone_number": "661-334-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S ASPEN ST STOP 89",
            "city": "BUCKLEY AFB",
            "state": "CO",
            "postal_code": "800119562",
            "telephone_number": "720-847-6486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Missile Ave",
            "address_purpose": "LOCATION",
            "city": "Minot AFB",
            "state": "ND",
            "postal_code": "58705",
            "country_code": "US",
            "telephone_number": "701-723-5191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGERSOLL",
        "first_name": "ASHLEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "JENSEN",
            "middle_name": "LYNN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Beltecezar Cruz Gorospe, PA
• Lorie Sharyl Gose, PSY.D.
• Stephen Hahn
• Nathan J Holloway, M.D.
• Whitney Howard, PHARMD
• Sandra Wynee Jefferson, R.D.
• Emil Gerard Lee
• John Livres, PHARMD
• George A Macgregor Jr., PHARMD
• Alexander David Martin, RN

• Physician Assistant in Buckley Afb, CO
• Providers in Buckley Afb, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.