Ashley Anziano, PA-C
Individual provider Active NPI Medical Physician Assistant · Rapid City, SD
NPI 1780009340 · NPPES record last updated Mar 26, 2018
Key facts
- NPI
- 1780009340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 0910 (SD)
- Practice address
- 2805 5TH St
Rapid City, SD 57701-7306 - Phone
- (605) 755-5700
- NPI assigned
- Feb 19, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Monument Health Rapid City Hospital Inc
Practice addresses (Care Compare)
353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8109
4150 5TH St
Rapid City, SD 57701-6022
Phone (605) 755-4100
Hospital & facility affiliations
- Monument Health Rapid City Hospital
- Same Day Surgery Center LLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170329000590 | SD | Practitioner - Physician Assistant | 8921239245 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Rapid City Hospital Inc | Current |
Accepting new patients | |
| Monument Health Rapid City Hospital Inc | Current |
Accepting new patients | |
| Monument Health Rapid City Hospital, Inc. | Past | Accepting new patients | |
| Community Health Center of the Black Hills, Inc | Past | Accepting new patients | |
| Community Health Center of the Black Hills Inc | Past |
Accepting new patients |
Locations
2805 5th St
Rapid City, SD 57701
Phone (605) 719-5650
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
4150 5th St
Rapid City, SD 57701
Phone (605) 399-4300
Interoperability endpoints
- arook.25653@regionalhealth.sdhealthlink.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0910 | SD | Yes |
Addresses
Primary practice location
2805 5TH St
Rapid City, SD 57701-7306
Mailing address
2805 5TH St
Rapid City, SD 57701-6003
Phone (605) 755-5753
Other practice location 1
10 Van Buren St
Rapid City, SD 57701-0969
Phone (605) 721-8939
Other providers in Rapid City, SD
- Trevor Anderson
- Trevor Ryan Anderson
- Anesthesia Solutions PC
- Anesthesia Solutions, PC
- Richard V Angelastro
- Shilo Patrick Apland
- Apple Tree Midwifery & Birth Center Prof LLC
- Apple Tree Midwifery Group LLC
- Monique M Apple
- Cassie Applegate
All providers in Rapid City, SD · Medical Physician Assistant in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.