Ashley Rae Vonada, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

T03766 Issued in KS

Practice address

3515 Broadway Ave
Great Bend, KS 67530-3633

Phone

(620) 792-2511

Fax

(620) 786-6262

NPI assigned

Aug 21, 2013

Last updated

Jul 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley Rae Moore Former name

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ukhs Great Bend LLCGroup PAC ID 5597016378, shared by 6 NPIs, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of KS HLTH System Great Bend Campus Hospital, Great Bend, KS, CCN 170191

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Hays Medical Center, Inc.

  dba Hays Medical Group

  • Internal Medicine Physician
  • Hays, KS
  • NPI 1871567479
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ukhs Great Bend, LLC

  dba The University of Kansas Health System Great Bend Campus

  • General Acute Care Hospital
  • Great Bend, KS
  • NPI 1548750417
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1609200088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 BROADWAY AVE",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303633",
            "telephone_number": "620-792-2511",
            "fax_number": "620-786-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 BROADWAY AVE",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303633",
            "telephone_number": "620-792-2511",
            "fax_number": "620-786-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONADA",
        "first_name": "ASHLEY",
        "middle_name": "RAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "T03766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "MOORE",
            "middle_name": "RAE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ukhs Great Bend, LLC (UKHS Great Bend St. Rose Pavilion)
• Unified School District 428
• Heidi Vansteenburgh
• Alejandra Velez, LMSW
• Tareia Vogelgesang, R.PH.
• Mary T Vuong, OTR
• Wal-Mart Stores Inc (Vision Center 30-0770)
• Walgreen Co (Walgreens #07818)
• Walmart Inc. (Walmart Pharmacy 10-0770)
• Steven O. Walters, LCP

• Physician Assistant in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.

Verify at the official NPI Registry.