Individual provider Active NPI

Ashlee Lauren Culver, MD

  • Dermatology Physician
  • Bozeman, MT
National Provider Identifier
1659833986
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
123829 Issued in MT
Practice address
2233 W Kagy Blvd Ste 2
Bozeman, MT 59718-5938
Phone
(406) 586-7873
Fax
(406) 586-2332
NPI assigned
Apr 4, 2019
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 123829 MT Primary

Addresses

Primary practice location

2233 W Kagy Blvd Ste 2
Bozeman, MT 59718-5938

Mailing address

2233 W Kagy Blvd Ste 2
Bozeman, MT 59718-5938
Phone (406) 586-7873

Other names 1

  • Ashlee Lauren Tisdale Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230620002895 MT Practitioner - Dermatology 4082072269 Reassigns benefits to 1 organization
I20260409002478 OK Practitioner - Dermatology 4082072269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Texas a & M University System, HSC, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of Oklahoma LLCGroup PAC ID 5597042903, 5 clinicians
Teresa Mann MD PCGroup PAC ID 2860735024, 4 clinicians

Practice addresses (Care Compare)

10115 E 80TH St
Suite a
Tulsa, OK 74133-3421
Phone (918) 994-4400

2233 W Kagy Blvd
Suite 2
Bozeman, MT 59718-5938
Phone (406) 586-7873

3111 Azalea Park Dr
Muskogee, OK 74401-2284
Phone (918) 618-1382

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision25
Removal of skin lesions498
Removal or shaving of skin growth1-10
Skin biopsy151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
123829MTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teresa Mann, M.D., P.C. Dermatology CurrentSince May 13, 2023 Accepting new patients

Locations

2233 W Kagy Blvd
Ste 2
Bozeman, MT 59718
Phone (406) 586-7873

Interoperability endpoints

  • Direct secure messaging: aculver@tmannderm.emadirect.md
  • Direct secure messaging: aculver1100444@wm.providencedirect.org

Organizations & group practices 2

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 1

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": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1659833986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 W KAGY BLVD STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185938",
            "telephone_number": "406-586-7873",
            "fax_number": "406-586-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 W KAGY BLVD STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185938",
            "telephone_number": "406-586-7873",
            "fax_number": "406-586-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULVER",
        "first_name": "ASHLEE",
        "middle_name": "LAUREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MT",
            "license": "123829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEE",
            "last_name": "TISDALE",
            "middle_name": "LAUREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.