NPIMap

Individual provider Active NPI

Ashley E Spacek, DPM

  • Podiatrist
  • La Crosse, WI
National Provider Identifier
1679152672
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1319 Issued in WI
Practice address
1836 South Ave
La Crosse, WI 54601-5429
Phone
(608) 782-7300
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X 1319 WI Primary

Addresses

Primary practice location

1836 South Ave
La Crosse, WI 54601-5429

Mailing address

1836 South Ave
La Crosse, WI 54601-5429

Other names 1

  • Ashley Grant Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231107000576 WI Practitioner - Podiatry 3779986195 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Foot and Ankle Clinic LLCGroup PAC ID 3072514876, 8 clinicians

Practice addresses (Care Compare)

100 S Court St
Merrill, WI 54452-2514
Phone (715) 241-8100

333 Pine Ridge Blvd
Wausau, WI 54401-4102
Phone (715) 241-8100

5403 Normandy St
Weston, WI 54476-2217
Phone (715) 241-8100

9433 County Rd J
Minocqua, WI 54548-9318
Phone (715) 241-8100

Hospital & facility affiliations

  • Howard Young Medical Center Hospital, Woodruff, WI, CCN 520091
  • Aspirus Eagle River Hospital Hospital, Eagle River, WI, CCN 521300
  • Aspirus Rhinelander Hospital Hospital, Rhinelander, WI, CCN 520019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue87
Removal of skin lesions1-10
Removal of nail tissue968
Removal or shaving of skin growth620
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1319WIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot and Ankle Clinic LLC Podiatrist CurrentSince Jul 8, 2024 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Oct 26, 2023 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Oct 26, 2023 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Oct 26, 2023 Accepting new patients
Gundersen Clinic, LTD CurrentSince Oct 26, 2023 Accepting new patients
Gundersen Clinic LTD Current Accepting new patients
Family Foot and Ankle Clinic LLC Podiatrist CurrentSince Jul 8, 2024 Accepting new patients

Locations

737 Dorr St
Antigo, WI 54409
Phone (715) 623-4710

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

100 S Court St
Merrill, WI 54452
Phone (715) 722-0999

9433 County Highway J
Minocqua, WI 54548
Phone (715) 356-5377

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

570 N Main St
Shawano, WI 54166
Phone (715) 298-5949

140 Wilshire Blvd N
Stevens Point, WI 54481
Phone (715) 341-1266

2400 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2022

5403 Normandy St
Weston, WI 54476
Phone (262) 210-7820

Organizations & group practices 8

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.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1679152672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPACEK",
        "first_name": "ASHLEY",
        "middle_name": "E",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "1319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "GRANT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.