Individual provider Active NPI

Ashley Jill Schultz, PA-C

  • Physician Assistant
  • Wadena, MN
National Provider Identifier
1487140133
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12729 Issued in MN
Practice address
415 Jefferson St N
Wadena, MN 56482-1264
Phone
(218) 631-3510
NPI assigned
Jul 5, 2018
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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 12729 MN Primary

Addresses

Primary practice location

415 Jefferson St N
Wadena, MN 56482-1264

Mailing address

46247 365TH Ave
Frazee, MN 56544-8938
Phone (218) 371-1966

Other practice location 1

900 Hilligoss Blvd SE
Fosston, MN 56542-1542
Phone (218) 435-1212

Other names 1

  • Ashley Jill Januszewski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20180918002119 MN Practitioner - Physician Assistant 8325399132 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of North Dakota School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perham Hospital DistrictGroup PAC ID 2264327766, 40 clinicians

Practice addresses (Care Compare)

1000 Coney St W
Perham, MN 56573-2102
Phone (218) 347-1656

1000 Coney W St
Perham, MN 56573-2102

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.39 of 100Reported as group
Quality
91.62
Promoting interoperability
100
Improvement activities
40
Cost
66.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12729MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Care Medical Services CurrentSince Oct 8, 2025 Accepting new patients
Perham Hospital District Current Accepting new patients
First Care Medical Services CurrentSince Oct 8, 2025 Accepting new patients
Perham Hospital District CurrentSince Jun 11, 2019 Accepting new patients
Lakes Country Healthcare P.L.L.C. Current Accepting new patients
Perham Hospital District CurrentSince Jun 11, 2019 Accepting new patients
Sanford Clinic North Past Accepting new patients

Locations

900 Hilligoss Blvd SE
Fosston, MN 56542
Phone (218) 435-1133

105 Otter Dr
Ottertail, MN 56571
Phone (218) 367-6111

1000 Coney St W
Perham, MN 56573
Phone (218) 347-1200

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1487140133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46247 365TH AVE",
            "city": "FRAZEE",
            "state": "MN",
            "postal_code": "565448938",
            "telephone_number": "218-371-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 JEFFERSON ST N",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821264",
            "telephone_number": "218-631-3510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Hilligoss Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Fosston",
            "state": "MN",
            "postal_code": "565421542",
            "country_code": "US",
            "telephone_number": "218-435-1212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "ASHLEY",
        "middle_name": "JILL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "JANUSZEWSKI",
            "middle_name": "JILL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wadena, MN

Sources for this page

Verify at the official NPI Registry.