Individual provider Active NPI

Ashley Wach, PA-C

  • Medical Physician Assistant
  • Great Falls, MT
National Provider Identifier
1497057384
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
636 Issued in MT
Practice address
3000 15TH Ave S
Great Falls, MT 59405-5240
Phone
(406) 454-2171
NPI assigned
Nov 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 636 MT Primary
Medical Physician Assistant 363AM0700X 4784 AZ

Addresses

Primary practice location

3000 15TH Ave S
Great Falls, MT 59405-5240

Mailing address

3000 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 454-2171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20150828001419 MT Practitioner - Physician Assistant 5092904540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Falls Clinic LLCGroup PAC ID 8325944499, 73 clinicians

Practice addresses (Care Compare)

1400 29TH St S
Great Falls, MT 59405-5315
Phone (406) 454-2171

1600 Division Rd
Great Falls, MT 59404-1921
Phone (406) 268-1600

3000 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 454-2171

Hospital & facility affiliations

  • Great Falls Clinic Hospital Hospital, Great Falls, MT, CCN 270086

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100Reported as apm
Quality
80.39
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
636MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan Consulting LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ashley.wach.1@25095.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1290729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1497057384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 15TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055240",
            "telephone_number": "406-454-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 15TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055240",
            "telephone_number": "406-454-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACH",
        "first_name": "ASHLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-26",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "636",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.