Individual provider Active NPI

Ashley Hapak, PA-C, NP-BC

  • Family Nurse Practitioner
  • Meadow Vista, CA
National Provider Identifier
1750765988
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95002622 Issued in CA
Practice address
1290 Walgra Meadows Rd
Meadow Vista, CA 95722-9570
Phone
(206) 465-1076
NPI assigned
Jul 17, 2015
Last updated
Jul 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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 52603 CA
Family Nurse Practitioner 363LF0000X NP95002622 CA Primary

Addresses

Primary practice location

1290 Walgra Meadows Rd
Meadow Vista, CA 95722-9570

Mailing address

1290 Walgra Meadows Rd
Meadow Vista, CA 95722-9570
Phone (206) 465-1076

Other identifiers 2

IdentifierTypeStateIssuer
52603OtherCAPHYSICIAN ASSISTANT BOARD OF CALIFORNIA
NP95002622OtherCABOARD OF REGISTERED NURSING, FAMILY NURSE PRACTITIONER LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170705001459 CA Practitioner - Physician Assistant 9032488101 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95002622CAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ahapak310203@hisp.ehr.sutterhealth.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1750765988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 WALGRA MEADOWS RD",
            "city": "MEADOW VISTA",
            "state": "CA",
            "postal_code": "957229570",
            "telephone_number": "206-465-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 WALGRA MEADOWS RD",
            "city": "MEADOW VISTA",
            "state": "CA",
            "postal_code": "957229570",
            "telephone_number": "206-465-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAPAK",
        "first_name": "ASHLEY",
        "credential": "PA-C, NP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52603",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95002622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT BOARD OF CALIFORNIA",
            "identifier": "52603",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED NURSING, FAMILY NURSE PRACTITIONER LICENSE",
            "identifier": "NP95002622",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadow Vista, CA

Sources for this page

Verify at the official NPI Registry.