Individual provider Active NPI

Ashley Elizabeth Scaglione, PA-C

  • Medical Physician Assistant
  • Hillsboro, MO
National Provider Identifier
1538618285
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2016033592 Issued in MO
Practice address
10279 Business 21
Hillsboro, MO 63050-3598
Phone
(636) 789-3941
NPI assigned
Sep 22, 2016
Last updated
Sep 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2016033592 MO Primary

Addresses

Primary practice location

10279 Business 21
Hillsboro, MO 63050-3598

Mailing address

4132 Ricewood Dr
Saint Louis, MO 63129-2008
Phone (314) 609-5349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20160929002776 MO Practitioner - Physician Assistant 1951698224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Southern Illinois University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Creve Coeur Family Medicine LLCGroup PAC ID 7315183597, 4 clinicians

Practice addresses (Care Compare)

11550 Olive Blvd
Suite 120
Creve Coeur, MO 63141-7111
Phone (314) 523-2590

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016033592MOMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Lukes Medical Group 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1538618285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 RICEWOOD DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631292008",
            "telephone_number": "314-609-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10279 BUSINESS 21",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630503598",
            "telephone_number": "636-789-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAGLIONE",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2016033592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, MO

Sources for this page

Verify at the official NPI Registry.