Individual provider Active NPI

Ashley Marie Carroll, PA-C

  • Physician Assistant
  • Olathe, KS
National Provider Identifier
1619100278
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2021023485 Issued in MO
Practice address
20375 W 151St St Ste 463
Olathe, KS 66061-7210
Phone
(913) 588-1227
NPI assigned
Aug 31, 2009
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 20491 CA
Physician Assistant 363A00000X 2021023485 MO Primary
Physician Assistant 363A00000X 15-02607 KS

Addresses

Primary practice location

20375 W 151St St Ste 463
Olathe, KS 66061-7210

Mailing address

2790 Clay Edwards Dr Ste 625
North Kansas City, MO 64116-3278
Phone (816) 455-3990

Other practice location 1

2790 Clay Edwards Dr Ste 625
North Kansas City, MO 64116-3278
Phone (816) 455-3990

Other names 1

  • Ashley Marie Pereyra Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MO, KS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20091211000435 CA Practitioner - Physician Assistant 9537209135 Reassigns benefits to 2 organizations
I20220812001136 MO Practitioner - Physician Assistant 9537209135 Reassigns benefits to 1 organization
I20260102001630 KS Practitioner - Physician Assistant 9537209135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

20333 W 151St St
Olathe Medical Center
Olathe, KS 66061-5350
Phone (913) 588-1227

2790 Clay Edwards Dr
Suite 625
North Kansas City, MO 64116-3278
Phone (816) 455-3990

2800 Clay Edwards Dr
North Kansas City, MO 64116-3220
Phone (816) 691-2021

3430 E la Palma Ave
Anaheim, CA 92806-2020
Phone (888) 988-2800

3460 E la Palma Ave
Anaheim, CA 92806-2020
Phone (714) 644-2010

5475 E la Palma Ave
Anaheim, CA 92807-2075
Phone (714) 279-6088

Hospital & facility affiliations

  • NKC Health Hospital, North Kansas City, MO, CCN 260096

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20491CAMDClinical Psychologist
15-02607KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
AMC Medical Comprehensive Care Physician Assistant Current Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. CurrentSince Oct 29, 2009 Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. CurrentSince Oct 29, 2009 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 24, 2011 Accepting new patients
Kansas University Physicians Inc CurrentSince Dec 29, 2025 Accepting new patients
Kansas University Physicians Inc CurrentSince Dec 29, 2025 Accepting new patients
Meritas Health Corporation CurrentSince Sep 12, 2022 Accepting new patients
Meritas Health Corporation CurrentSince Sep 12, 2022 Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

3430 E La Palma Ave
Anaheim, CA 92806
Phone (714) 644-7180

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

1901 W Lugonia Ave
Ste 310
Redlands, CA 92374
Phone (909) 793-2964

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-3974

20333 W 151st St
Olathe, KS 66061
Phone (888) 960-1393

20375 W 151st St
Ste 463
Olathe, KS 66061
Phone (913) 355-8577

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

2790 Clay Edwards Dr
Ste 625
North Kansas City, MO 64116
Phone (816) 421-3115

Organizations & group practices 12

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 2

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": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1619100278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 625",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163278",
            "telephone_number": "816-455-3990",
            "fax_number": "816-455-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20375 W 151ST ST STE 463",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617210",
            "telephone_number": "913-588-1227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2790 Clay Edwards Dr Ste 625",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163278",
            "country_code": "US",
            "telephone_number": "816-455-3990",
            "fax_number": "816-455-5351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "20491",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2021023485",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02607",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "441 N Lakeview Ave",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928073028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "PEREYRA",
            "middle_name": "MARIE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.