NPIMap

Individual provider Active NPI

Ashley Christine Mines, PA-C

  • Medical Physician Assistant
  • Craig, CO
National Provider Identifier
1609011691
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2715 Issued in CO
Practice address
745 Russell St
Craig, CO 81625-2019
Phone
(970) 824-8233
Fax
(970) 824-2548
NPI assigned
Dec 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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 2715 CO Primary

Addresses

Primary practice location

745 Russell St
Craig, CO 81625-2019

Mailing address

745 Russell St
Craig, CO 81625-2019
Phone (970) 824-8233

Other practice location 1

745 Russell St
Craig, CO 81625-2019
Phone (970) 824-8233

Other identifiers 1

IdentifierTypeStateIssuer
94555753MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100611000357 CO Practitioner - Physician Assistant 2163552597 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

745 Russell St
Craig, CO 81625-2019
Phone (970) 824-8233

940 Central Park Dr
Suite 101
Steamboat Springs, CO 80487-8853
Phone (970) 879-1632

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2715COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Colorado PC CurrentSince Mar 16, 2018 Accepting new patients
The Memorial Hospital CurrentSince Jun 10, 2023 Accepting new patients
Northwest Colorado Visiting Nurse Association CurrentSince Sep 25, 2023 Accepting new patients
Northwest Colorado Visiting Nurse Association CurrentSince Sep 25, 2023 Accepting new patients
The Memorial Hospital CurrentSince Jun 10, 2023 Accepting new patients
Provident Senior Health, Inc. Past Accepting new patients
Inpatient Consultants of Colorado, PC Past Accepting new patients
Northwest Colorado Visiting Nurse Association Past Accepting new patients
Northwest Colorado Visting Nurse Association Past Accepting new patients

Locations

12250 E Iliff Ave
Ste 300
Aurora, CO 80014
Phone (720) 524-1550

745 Russell St
#0
Craig, CO 81625

750 Hospital Loop
Craig, CO 81625
Phone (970) 824-9411

745 Russell St
Craig, CO 81625
Phone (970) 824-8233

2000 S Colorado Blvd
Ste 420
Denver, CO 80222
Phone (720) 524-1550

940 Central Park Dr
Ste 101
Steamboat Springs, CO 80487
Phone (970) 871-7680

Organizations & group practices 9

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 5

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": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1609011691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 RUSSELL ST",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252019",
            "telephone_number": "970-824-8233",
            "fax_number": "970-824-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 RUSSELL ST",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252019",
            "telephone_number": "970-824-8233",
            "fax_number": "970-824-2548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 Russell St",
            "address_purpose": "LOCATION",
            "city": "Craig",
            "state": "CO",
            "postal_code": "816252019",
            "country_code": "US",
            "telephone_number": "970-824-8233",
            "fax_number": "970-824-2548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINES",
        "first_name": "ASHLEY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "2715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94555753",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Craig, CO

Sources for this page

Verify at the official NPI Registry.