Ashley Rae Vonada, PA-C
Individual provider Active NPI Physician Assistant · Great Bend, KS
NPI 1609200088 · NPPES record last updated Jul 28, 2022
Key facts
- NPI
- 1609200088
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- T03766 (KS)
- Practice address
- 3515 Broadway Ave
Great Bend, KS 67530-3633 - Phone
- (620) 792-2511
- Fax
- (620) 786-6262
- NPI assigned
- Aug 21, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ukhs Great Bend LLC
Practice addresses (Care Compare)
3515 Broadway Ave
Great Bend, KS 67530-3633
Phone (620) 786-6515
Hospital & facility affiliations
- University of KS HLTH System Great Bend Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131112001840 | KS | Practitioner - Physician Assistant | 1355577834 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T03766 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hays Medical Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | T03766 | KS | Yes |
Addresses
Primary practice location
3515 Broadway Ave
Great Bend, KS 67530-3633
Mailing address
3515 Broadway Ave
Great Bend, KS 67530-3633
Phone (620) 792-2511
Other names
- Ashley Rae Moore
Other providers in Great Bend, KS
- Ukhs Great Bend, LLC
- Unified School District 428
- Heidi Vansteenburgh
- Alejandra Velez
- Tareia Vogelgesang
- Mary T Vuong
- Wal-Mart Stores Inc
- Walgreen Co
- Walmart Inc.
- Steven O. Walters
All providers in Great Bend, KS · Physician Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.