Kaitlin M Ashley, PA-C
Individual provider Active NPI Physician Assistant · Sioux Falls, SD
NPI 1679359202 · NPPES record last updated Feb 14, 2024
Key facts
- NPI
- 1679359202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1471 (SD)
- Practice address
- 1325 S Cliff Ave
Sioux Falls, SD 57105-1007 - Phone
- (605) 322-2000
- NPI assigned
- Sep 8, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231221001811 | SD | Practitioner - Physician Assistant | 1153771894 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1471 | SD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current |
Accepting new patients | |
| Avera McKennan | Current |
Accepting new patients | |
| Sanford Medical Center | Physician Assistant | Current |
Accepting new patients |
| Sanford Medical Center | Current |
Accepting new patients |
Locations
300 W 5th St
Miller, SD 57362
Phone (605) 853-0158
1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000
1508 W 22nd St
Ste 101
Sioux Falls, SD 57105
Phone (605) 328-3840
4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000
1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1471 | SD | Yes |
Addresses
Primary practice location
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Mailing address
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Phone (605) 322-2000
Other names
- Kaitlin M Lang
Other providers in Sioux Falls, SD
- Art Vision
- Afton Artz
- Asana Integrated Medical Group PC
- Ashley Hosek Therapy Services, LLC
- Ashley Willow D.C., P.C.
- Melania Ashley
- Madison Marie Ashlock
- Muna Ashraf
- Ryan W. Askeland
- Tracey Askew
All providers in Sioux Falls, SD · Physician Assistant in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.