Individual provider Active NPI

Ashley P Hansen, PA-C

  • Physician Assistant
  • Mesquite, NV
National Provider Identifier
1669851945
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13948513-1206 Issued in UT
Practice address
330 Falcon Ridge Pkwy Ste 400a
Mesquite, NV 89027-8881
Phone
(435) 628-9393
Fax
(435) 628-9382
NPI assigned
May 20, 2015
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2924 NV
Physician Assistant 363A00000X 13948513-1206 UT Primary

Addresses

Primary practice location

330 Falcon Ridge Pkwy Ste 400a
Mesquite, NV 89027-8881

Mailing address

1055 N 500 W
Attn Credentialing
Provo, UT 84604
Phone (801) 354-8225

Other practice location 1

2400 Unser Blvd SE Ste 08200
Rio Rancho, NM 87124-4740
Phone (505) 253-6100

Other practice location 2

1930 W Sunset Blvd Ste 94
St George, UT 84770-6792
Phone (435) 628-9393

Other practice location 3

2825 E Mall Dr
St George, UT 84790-1954
Phone (435) 628-9393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, UT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20241024001304 NV Practitioner - Physician Assistant 4880900273 Reassigns benefits to 1 organization
I20241025001991 UT Practitioner - Physician Assistant 4880900273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revere Health PCGroup PAC ID 7517868508, 407 clinicians

Practice addresses (Care Compare)

1055 N 500
Provo, UT 84604-3305

2825 E Mall Dr
St George, UT 84790-1954
Phone (435) 673-6131

330 Falcon Ridge Pkwy
Suite 400a
Mesquite, NV 89027-8881
Phone (435) 628-9393

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2924NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Health PC CurrentSince Nov 1, 2024 Accepting new patients
Revere Health PC CurrentSince Nov 1, 2024 Accepting new patients

Locations

330 Falcon Ridge Pkwy
Ste 400A
Mesquite, NV 89027
Phone (435) 251-2900

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362

1930 W Sunset Blvd
Ste 94
St George, UT 84770
Phone (435) 375-0140

2825 E Mall Dr
St George, UT 84790
Phone (435) 673-6131

Interoperability endpoints

  • Direct secure messaging: ashleyhansen@cuccu.allscriptsdirect.net

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 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": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1669851945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 500 W",
            "address_2": "ATTN CREDENTIALING",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84604",
            "telephone_number": "801-354-8225",
            "fax_number": "801-418-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 FALCON RIDGE PKWY STE 400A",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890278881",
            "telephone_number": "435-628-9393",
            "fax_number": "435-628-9382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Unser Blvd SE Ste 08200",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871244740",
            "country_code": "US",
            "telephone_number": "505-253-6100",
            "fax_number": "505-253-6296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1930 W Sunset Blvd Ste 94",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847706792",
            "country_code": "US",
            "telephone_number": "435-628-9393",
            "fax_number": "435-628-9382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2825 E Mall Dr",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847901954",
            "country_code": "US",
            "telephone_number": "435-628-9393",
            "fax_number": "435-628-9382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "ASHLEY",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-20",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2924",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "13948513-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, NV

Sources for this page

Verify at the official NPI Registry.