Individual provider Active NPI

Ashley Noone, PA-C

  • Physician Assistant
  • Cornelius, NC
National Provider Identifier
1740727569
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07018 Issued in NC
Practice address
17039 Kenton Dr Ste 100
Cornelius, NC 28031-5776
Phone
(704) 896-8837
NPI assigned
Jan 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0010-07018 NC
Physician Assistant 363A00000X 0010-07018 NC Primary

Addresses

Primary practice location

17039 Kenton Dr Ste 100
Cornelius, NC 28031-5776

Mailing address

17039 Kenton Dr Ste 100
Cornelius, NC 28031-5776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170508000721 NC Practitioner - Physician Assistant 9537446257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Surgery Center PAGroup PAC ID 3173599479, 72 clinicians

Practice addresses (Care Compare)

1450 Professional Park Dr
Winston Salem, NC 27103-1300
Phone (336) 724-2434

17039 Kenton Dr
Suite 100
Cornelius, NC 28031-5776
Phone (704) 896-8837

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0010-07018NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Surgery Center PA CurrentSince Sep 1, 2021 Accepting new patients

Locations

17039 Kenton Dr
Ste 100
Cornelius, NC 28031
Phone (704) 607-1518

137 Professional Park Dr
Ste D
Mooresville, NC 28117
Phone (704) 660-3322

1450 Professional Park Dr
Winston Salem, NC 27103
Phone (336) 724-2434

Interoperability endpoints

  • Direct secure messaging: ashley.noone@qdp.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1740727569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17039 KENTON DR STE 100",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17039 KENTON DR STE 100",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315776",
            "telephone_number": "704-896-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONE",
        "first_name": "ASHLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-07018",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

Verify at the official NPI Registry.