Individual provider Active NPI

Kristine Ashton, PA

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1477976512
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-04791 Issued in NC
Practice address
1055 Dresser CT
Raleigh, NC 27609-4244
Phone
(919) 876-3130
NPI assigned
Jan 25, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2014

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 0010-04791 NC Primary

Addresses

Primary practice location

1055 Dresser CT
Raleigh, NC 27609-4244

Mailing address

1055 Dresser CT
Raleigh, NC 27609-4244
Phone (919) 876-3130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260615003119 NC Practitioner - Physician Assistant 3779715511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5904 Pine Tree CT
Raleigh, NC 27609-4244

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-04791NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Psychiatry of Raleigh, PLLC Physician Assistant Current Accepting new patients
Serenity PA Psychiatric Services PLLC Physician Assistant Current Accepting new patients
Carolina Partners in Mental Past Accepting new patients

Organizations & group practices 3

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": "1390608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1477976512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 DRESSER CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094244",
            "telephone_number": "919-876-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 DRESSER CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094244",
            "telephone_number": "919-876-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHTON",
        "first_name": "KRISTINE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-25",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.