Individual provider Active NPI

Ashley Mae Dahline, PA-C

  • Physician Assistant
  • Mankato, MN
National Provider Identifier
1750713608
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11373 Issued in MN
Practice address
125 Saint Andrews CT Ste 221
Mankato, MN 56001-8600
Phone
(507) 519-0370
Fax
(949) 695-4869
NPI assigned
Aug 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11373 MN Primary
Physician Assistant 363A00000X 1925 MN

Addresses

Primary practice location

125 Saint Andrews CT Ste 221
Mankato, MN 56001-8600

Mailing address

125 Saint Andrews CT Ste 221
Mankato, MN 56001-8600
Phone (507) 519-0370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20130814000420 MN Practitioner - Physician Assistant 2264674621 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
11373MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Vitality & Fertility PLLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

125 Saint Andrews Ct
Ste 221
Mankato, MN 56001
Phone (507) 519-0370

Interoperability endpoints

  • Direct secure messaging: ashley.dahline.1@31951.direct.athenahealth.com

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": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1750713608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SAINT ANDREWS CT STE 221",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018600",
            "telephone_number": "507-519-0370",
            "fax_number": "949-695-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SAINT ANDREWS CT STE 221",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018600",
            "telephone_number": "507-519-0370",
            "fax_number": "949-695-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLINE",
        "first_name": "ASHLEY",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "11373",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "1925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.