Individual provider Active NPI

Ashley Waldrep, PA-C

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1508394149
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2131 Issued in NE
Practice address
4004 Pioneer Woods Dr
Lincoln, NE 68506-7548
Phone
(402) 484-4900
NPI assigned
May 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 2131 NE Primary

Addresses

Primary practice location

4004 Pioneer Woods Dr
Lincoln, NE 68506-7548

Mailing address

4004 Pioneer Woods Dr
Lincoln, NE 68506-7548
Phone (402) 484-4900

Other practice location 1

4001 Pioneer Woods Dr
Lincoln, NE 68506-7547
Phone (402) 484-4900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashley.waldrep@neb.ikm.direct-ci.com Health Information Exchange (HIE) Nebraska Hematology-Oncology, PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20170801001253 NE Practitioner - Physician Assistant 2860763414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nebraska Hematology-Oncology PCGroup PAC ID 9638083330, 19 clinicians

Practice addresses (Care Compare)

4004 Pioneer Woods Dr
Lincoln, NE 68506-7548
Phone (402) 484-4900

Hospital & facility affiliations

  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013

Merit-based Incentive Payment System (MIPS)

Final score
82.33 of 100Reported as subgroup
Quality
67.51
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2131NEMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Hematology-Oncology, PC CurrentSince Jun 12, 2017 Accepting new patients

Locations

4001 Pioneer Woods Dr
Lincoln, NE 68506
Phone (402) 484-4900

4004 Pioneer Woods Dr
Lincoln, NE 68506
Phone (402) 484-4900

Organizations & group practices 1

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": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1508394149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 PIONEER WOODS DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067548",
            "telephone_number": "402-484-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 PIONEER WOODS DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067548",
            "telephone_number": "402-484-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 Pioneer Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685067547",
            "country_code": "US",
            "telephone_number": "402-484-4900",
            "fax_number": "402-484-6456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDREP",
        "first_name": "ASHLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-26",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.waldrep@neb.ikm.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Nebraska Hematology-Oncology, PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4004 Pioneer Woods Dr",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685067548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.