Individual provider Active NPI

Ashley Kum, PA-C

  • Physician Assistant
  • Hagerstown, MD
National Provider Identifier
1760203244
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0009714 Issued in MD
Practice address
1185 Imperial Dr Ste 201
Hagerstown, MD 21740-6673
Phone
(240) 791-5234
Fax
(301) 791-5234
NPI assigned
Oct 18, 2024
Last updated
May 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0009714 MD Primary

Addresses

Primary practice location

1185 Imperial Dr Ste 201
Hagerstown, MD 21740-6673

Mailing address

PO Box 23329
New York, NY 10087-3329

Other practice location 1

3430 Worthington Blvd Ste 205
Urbana, MD 21704-7019
Phone (301) 933-1547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241118002761 DC Practitioner - Physician Assistant 7012441702 Reassigns benefits to 1 organization
I20241118002857 MD Practitioner - Physician Assistant 7012441702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Philadelphia College of Osteopathic Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne Arundel Dermatology PAGroup PAC ID 6608761960, 126 clinicians

Practice addresses (Care Compare)

1185 Imperial Dr
Suite 201
Hagerstown, MD 21740-6673
Phone (443) 351-3376

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0009714MDMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: ashleyk@aadermaffiliates.emadirect.md

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": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1760203244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 IMPERIAL DR STE 201",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406673",
            "telephone_number": "240-791-5234",
            "fax_number": "301-791-5234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3430 Worthington Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "MD",
            "postal_code": "217047019",
            "country_code": "US",
            "telephone_number": "301-933-1547",
            "fax_number": "301-732-4878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUM",
        "first_name": "ASHLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0009714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.