Ashley Vanderjagt, PA-C, MMS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0004855 Issued in CO

Practice address

2312 N Nevada Ave Ste 100
Colorado Springs, CO 80907-5307

Phone

(719) 473-3272

Fax

(719) 389-1191

NPI assigned

Oct 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Springs Neurological Associates, P.C.Group PAC ID 9638073612, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Colorado Springs Neurological Associates, PC

  • Neurology Physician
  • Colorado Springs, CO
  • NPI 1407805948
  Medicare reassignment Care Compare group
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  CO

  Medicare reassignment
• Colorado Springs Neurological Associates, PC

  • Clinical Neuropsychologist
  • Colorado Springs, CO
  • NPI 1912645458
  NPD

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

• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Colorado Springs, CO
  • NPI 1801436415
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Colorado Springs, CO
  • NPI 1932112125
  Care Compare affiliation

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1740731488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 N NEVADA AVE STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075307",
            "telephone_number": "719-473-3272",
            "fax_number": "719-389-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 N NEVADA AVE STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075307",
            "telephone_number": "719-473-3272",
            "fax_number": "719-389-1191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5725 Mark Dabling Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809192221",
            "country_code": "US",
            "telephone_number": "719-473-3272",
            "fax_number": "719-389-1191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERJAGT",
        "first_name": "ASHLEY",
        "credential": "PA-C, MMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0004855",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15605817",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKenna Vandemark
• Josalyn Vandenberg
• Ashley Vandenberk
• Mark Phillip Vander Horck, O.D.
• Hillary Kayris Vandergast, OTR/L
• Ethan Vanderlinde
• Barbara Anita Vanderpol, CLINICAL PSYCHOLOGIS
• Cynthia Marie Vanders, PT
• Lesley Vandersarl, LMT, ICNMT
• Alicia Vandersluis, M.D.

• Physician Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.

Verify at the official NPI Registry.