Active NPI
Ashleigh Kay Wisser, PA-C
- Physician Assistant
- Canton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601010505
- Practice address
- 361 N Canton Center Rd
Canton, MI 48187-5096 - Phone
- (734) 495-1506
- Fax
- (734) 495-1780
- NPI assigned
- Apr 28, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601010505 | MI | Primary |
Addresses
Primary practice location
361 N Canton Center Rd
Canton, MI 48187-5096
Mailing address
4856 Split Rail Dr
Brighton, MI 48114-7517
Phone (734) 495-1506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
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
Practice addresses (Care Compare)
361 N Canton Ctr Rd
Canton, MI 48187
Phone (734) 495-1506
Hospital & facility affiliations
- Trinity Health Ann Arbor Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601010505 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audrey Bruell, M.D. P.C. | Current | Accepting new patients | |
| Rediclinic Austin, LLC | Current | Accepting new patients | |
| Alan Bolton, MD, PC | Past | Accepting new patients |
Locations
37605 Pembroke Ave
Livonia, MI 48152
Phone (734) 591-7931
500 Canyon Ridge Dr
Austin, TX 78753
Phone (512) 836-9000
170 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 259-5755
Organizations & group practices 4
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.
-
- Dermatology Physician
- Canton, MI
- NPI 1003069014
-
- Dermatology Physician
- Livonia, MI
- NPI 1306965983
-
- Clinic/Center
- Austin, TX
- NPI 1235594821
-
- Obstetrics & Gynecology Physician
- Berkley, MI
- NPI 1467632901
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1710364807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4856 SPLIT RAIL DR",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481147517",
"telephone_number": "734-495-1506",
"fax_number": "734-495-1780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 N CANTON CENTER RD",
"city": "CANTON",
"state": "MI",
"postal_code": "481875096",
"telephone_number": "734-495-1506",
"fax_number": "734-495-1780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISSER",
"first_name": "ASHLEIGH",
"middle_name": "KAY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-28",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601010505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.