Active NPI
Ashley Ann Dick
- Certified Registered Nurse Anesthetist
- Plymouth, MN
National Provider Identifier
1609361609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2250
- Practice address
- 14700 28TH Ave N Ste 20
Plymouth, MN 55447 - Phone
- (763) 559-3779
- Fax
- (763) 450-3986
- NPI assigned
- Jun 22, 2018
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R195489-6 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | 2250 | MN | Primary |
Addresses
Primary practice location
14700 28TH Ave N Ste 20
Plymouth, MN 55447
Mailing address
PO Box 47159
Plymouth, MN 55447-0159
Phone (763) 559-3779
Other practice location 1
12106 Waconia Cir NE
Blaine, MN 55449-5532
Phone (763) 242-0247
Other practice location 2
800 E 28th St
Minneapolis, MN 55407-3723
Phone (612) 863-4000
Other practice location 3
14700 28th Ave N Ste 20
Plymouth, MN 55447
Phone (763) 559-3779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (763) 236-6786
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2250 | MN | MD | Registered Dietitian |
| R195489-6 | MN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
8100 W 78th St
Ste 220
Minneapolis, MN 55439
Phone (952) 914-8400
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Addiction (Substance Use Disorder) Psychologist
- Fridley, MN
- NPI 1083197214
Hospital
-
- General Acute Care Hospital
- Cambridge, MN
- NPI 1215755400
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Fridley, MN
- NPI 1285692145
-
- General Acute Care Hospital
- Coon Rapids, MN
- NPI 1316904287
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fridley, MN
- NPI 1598700528
Hospital
-
- Psychiatric Hospital Unit
- Fridley, MN
- NPI 1609056100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539216000000",
"number": "1609361609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 47159",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554470159",
"telephone_number": "763-559-3779",
"fax_number": "763-450-3986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14700 28TH AVE N STE 20",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "55447",
"telephone_number": "763-559-3779",
"fax_number": "763-450-3986"
}
],
"practiceLocations": [
{
"address_1": "12106 Waconia Cir NE",
"address_purpose": "LOCATION",
"city": "Blaine",
"state": "MN",
"postal_code": "554495532",
"country_code": "US",
"telephone_number": "763-242-0247",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 E 28th St",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554073723",
"country_code": "US",
"telephone_number": "612-863-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14700 28th Ave N Ste 20",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "MN",
"postal_code": "55447",
"country_code": "US",
"telephone_number": "763-559-3779",
"fax_number": "763-450-3986",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICK",
"first_name": "ASHLEY",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-22",
"last_updated": "2018-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R195489-6",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "2250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.