Active NPI
Ashley Lynn Peine, PA-C
- Physician Assistant
- Woodbury, MN
National Provider Identifier
1619489663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 12585
- Practice address
- 7200 Valley Creek PLZ
Woodbury, MN 55125-2265 - Phone
- (651) 735-9517
- NPI assigned
- Oct 31, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 12585 | MN | Primary |
Addresses
Primary practice location
7200 Valley Creek PLZ
Woodbury, MN 55125-2265
Mailing address
7200 Valley Creek PLZ
Woodbury, MN 55125-2265
Phone (763) 742-7664
Other practice location 1
1415 Lilac Dr N Ste 190
Golden Valley, MN 55422-4544
Phone (763) 267-8701
Other practice location 2
8675 Valley Creek Rd
Woodbury, MN 55125-2337
Phone (651) 241-3000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | apeine637341@excellian.direct.allina.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225
8675 Valley Creek Rd
Woodbury, MN 55125-2337
Phone (651) 241-3000
Hospital & facility affiliations
- Abbott Northwestern Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12585 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
280 Smith Ave N
Ste 700
Saint Paul, MN 55102
Phone (651) 241-3535
1155 County Road E E
Ste 100
Vadnais Heights, MN 55110
Phone (651) 241-9200
8675 Valley Creek Rd
Woodbury, MN 55125
Phone (651) 241-3000
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- apeine637341@excellian.direct.allina.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Clinic/Center
- Edina, MN
- NPI 1972888428
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1467758813
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1619489663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 VALLEY CREEK PLZ",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252265",
"telephone_number": "763-742-7664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 VALLEY CREEK PLZ",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252265",
"telephone_number": "651-735-9517"
}
],
"practiceLocations": [
{
"address_1": "1415 Lilac Dr N Ste 190",
"address_purpose": "LOCATION",
"city": "Golden Valley",
"state": "MN",
"postal_code": "554224544",
"country_code": "US",
"telephone_number": "763-267-8701",
"fax_number": "763-231-9602",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8675 Valley Creek Rd",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "MN",
"postal_code": "551252337",
"country_code": "US",
"telephone_number": "651-241-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEINE",
"first_name": "ASHLEY",
"middle_name": "LYNN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-31",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "12585",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "apeine637341@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "8675 Valley Creek Rd",
"city": "Woodbury",
"state": "MN",
"country_code": "US",
"postal_code": "551252337",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.