Ashley Marie Berdan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9252 Issued in AZ

Practice address

11851 N 51St Ave Ste B110
Glendale, AZ 85304-2823

Phone

(480) 882-4545

Fax

(623) 773-2267

NPI assigned

May 18, 2020

Last updated

Mar 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Physician Assistant

Education

Baylor College of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of YavapaiGroup PAC ID 8921919499, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashley.berdan.p1@direct.ycchs.nextgenshare.com

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.

• County of Yavapai

  dba Community Health Center of Yavapai

  • Public Health or Welfare Agency
  • Prescott, AZ
  • NPI 1659317022

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Neighborhood Outreach Access to Health

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1942518550

  Multi-Specialty

  Medicare reassignment NPD
• County of Yavapai

  dba Community Health Center of Yavapai

  • Federally Qualified Health Center (FQHC)
  • Ash Fork, AZ
  • NPI 1811879455

  Multi-Specialty

  NPD
• County of Yavapai

  dba Yavapai County Community Health Services

  • Public Health or Welfare Agency
  • Prescott, AZ
  • NPI 1952501389
  NPD
• Neighborhood Outreach Access to Health

  dba Copperwood II Health Center

  • Federally Qualified Health Center (FQHC)
  • Glendale, AZ
  • NPI 1326731555
  NPD

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1487276069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N ALMA SCHOOL RD STE 11",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244354",
            "telephone_number": "623-300-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 N 51ST AVE STE B110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042823",
            "telephone_number": "480-882-4545",
            "fax_number": "623-773-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERDAN",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9252",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9113085",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157593",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne MP Bennett, DO
• Alicia Benoit, PT, DPT
• Heather Benton
• Traci L Benton, COUNSELING INTERN
• Georgia A. Benyk, MED
• Broc Berg
• David Berg, DC
• Gerald C Berg, DC
• Leah S. Berg, SLPA
• Lisa A. Berg, SLPA

• Physician Assistant in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.