Active NPI
Ashley Marrissa Penington, DO
- Emergency Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 125.078558
- Practice address
- 1750 W Harrison St Ste 108
Chicago, IL 60612-3825 - Phone
- (312) 942-7802
- Fax
- (312) 942-4021
- NPI assigned
- Apr 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 125.078558 | IL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 1558940874. | IL |
Addresses
Primary practice location
1750 W Harrison St Ste 108
Chicago, IL 60612-3825
Mailing address
1750 W Harrison St Ste 108
Chicago, IL 60612-3825
Phone (312) 942-7802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Pacific NW Un of HS, Col of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-7300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 96.74
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.078558 | IL | MD | Emergency Medicine Physician |
| 1558940874. | IL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth Medical Group Cottage Grove | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Eugene Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Rush University Medical Group | Emergency Medicine | Past | Accepting new patients |
| Peacehealth | Past | Accepting new patients |
Locations
1515 Village Dr
Cottage Grove, OR 97424
Phone (541) 767-5200
1255 Hilyard St
Eugene, OR 97401
Phone (503) 686-7300
400 9th St
Florence, OR 97439
Phone (541) 997-8412
3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Eugene, OR
- NPI 1831133677
-
- Critical Access Hospital
- Florence, OR
- NPI 1578552402
-
- Critical Access Hospital
- Cottage Grove, OR
- NPI 1902892391
-
- Multi-Specialty Clinic/Center
- Creswell, OR
- NPI 1780631267
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
Emergency Medicine
-
- General Acute Care Hospital
- Springfield, OR
- NPI 1083888515
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, OR
- NPI 1083888515
-
- Psychiatric Hospital Unit
- Eugene, OR
- NPI 1568236974
-
- Critical Access Hospital
- Cottage Grove, OR
- NPI 1902892391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1558940874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 W HARRISON ST STE 108",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123825",
"telephone_number": "312-942-7802",
"fax_number": "312-942-4021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 W HARRISON ST STE 108",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123825",
"telephone_number": "312-942-7802",
"fax_number": "312-942-4021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENINGTON",
"first_name": "ASHLEY",
"middle_name": "MARRISSA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-05",
"last_updated": "2021-06-21",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "125.078558",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "1558940874.",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.