Individual provider Active NPI

Ashley Kelly, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1649754227
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
34640 N North Valley Pkwy Ste A104
Phoenix, AZ 85086-3247
Phone
(623) 444-2001
NPI assigned
Sep 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X AZ Primary

Addresses

Primary practice location

34640 N North Valley Pkwy Ste A104
Phoenix, AZ 85086-3247

Mailing address

34640 N North Valley Pkwy Ste A104
Phoenix, AZ 85086-3247
Phone (623) 444-2001

Other practice location 1

10769 N Frank Lloyd Wright Blvd # A120
Scottsdale, AZ 85259-2682
Phone (480) 848-0991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20211112001562 AZ Practitioner - Physician Assistant 0244629244 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

10240 N 43Rd Ave
Suite 3
Glendale, AZ 85302-2044
Phone (623) 742-2060

1394 W 16TH St
Yuma, AZ 85364-4430
Phone (928) 539-0055

18589 N 59TH Ave
Suite 101
Glendale, AZ 85308-1258
Phone (602) 547-2600

20950 N Tatum Blvd
Suite 190
Phoenix, AZ 85050-4251
Phone (480) 776-0021

4815 E Carefree Hwy
Suite 124
Cave Creek, AZ 85331-4719
Phone (480) 626-0525

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7221AZMDPediatric Dentist

Interoperability endpoints

  • Direct secure messaging: ashley.hesherpac.p1@direct.nextcare.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1649754227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34640 N NORTH VALLEY PKWY STE A104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850863247",
            "telephone_number": "623-444-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34640 N NORTH VALLEY PKWY STE A104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850863247",
            "telephone_number": "623-444-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10769 N Frank Lloyd Wright Blvd # A120",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852592682",
            "country_code": "US",
            "telephone_number": "480-848-0991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ASHLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.