Active NPI
Ashleigh Chase Mangrum, PA-C
- Physician Assistant
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 8585 S Eastern Ave
Las Vegas, NV 89123-2817 - Phone
- (702) 798-8585
- Fax
- (702) 341-0109
- NPI assigned
- Aug 11, 2020
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
8585 S Eastern Ave
Las Vegas, NV 89123-2817
Mailing address
8585 S Eastern Ave
Las Vegas, NV 89123-2817
Phone (702) 798-8585
Other practice location 1
915 E Market Ave
Searcy, AR 72149-5615
Phone (501) 279-5642
Other practice location 2
1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3111
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q074386 | Medicaid | TN | |
| 005306518 | Medicaid | MS | |
| 09010261 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8585 S Eastern Ave
Suite 100
Las Vegas, NV 89123-2818
Phone (702) 798-8585
Hospital & facility affiliations
- Spring Valley Hospital Medical Center
- Saint Rose Dominican Hospitals - Siena Campus
- Henderson Hospital
- West Henderson Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.09 of 100
- Quality
- 50.47
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 67.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5005 | TN | MD | Veterinarian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walant ASC LLC | Current | Accepting new patients | |
| Titan Orthopedics of Memphis, PLLC | Current | Accepting new patients | |
| CC Bpci PLC | Past | Accepting new patients |
Locations
8585 S Eastern Ave
Las Vegas, NV 89123
Phone (702) 798-8585
8585 S Eastern Ave
Ste 100
Las Vegas, NV 89123
Phone (702) 798-8585
1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111
Interoperability endpoints
- https://api.platform.athenahealth.com/14704/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Orthopaedic Hand Surgery Physician
- Las Vegas, NV
- NPI 1740446558
-
- Orthopaedic Surgery Physician
- Germantown, TN
- NPI 1003835141
-
- Orthopaedic Hand Surgery Physician
- Las Vegas, NV
- NPI 1063254084
-
- Orthopaedic Surgery Physician
- Memphis, TN
- NPI 1013463694
-
- Orthopaedic Surgery Physician
- Germantown, TN
- NPI 1881387330
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1770626426
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1003281452
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1346230323
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1982289690
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1962181172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1609487933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8585 S EASTERN AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891232817",
"telephone_number": "702-798-8585",
"fax_number": "702-341-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8585 S EASTERN AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891232817",
"telephone_number": "702-798-8585",
"fax_number": "702-341-0109"
}
],
"practiceLocations": [
{
"address_1": "915 E Market Ave",
"address_purpose": "LOCATION",
"city": "Searcy",
"state": "AR",
"postal_code": "721495615",
"country_code": "US",
"telephone_number": "501-279-5642",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 S Germantown Rd",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381382205",
"country_code": "US",
"telephone_number": "901-759-3111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANGRUM",
"first_name": "ASHLEIGH",
"middle_name": "CHASE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-11",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q074386",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005306518",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09010261",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.