Individual provider Active NPI

Ashley Johnson, PA-C

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1790267227
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2256 Issued in NE
Practice address
600 N Cotner Blvd Ste 208
Lincoln, NE 68505-2343
Phone
(402) 464-5969
Fax
(402) 464-3657
NPI assigned
Aug 31, 2018
Last updated
Mar 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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 2256 NE Primary

Addresses

Primary practice location

600 N Cotner Blvd Ste 208
Lincoln, NE 68505-2343

Mailing address

600 N Cotner Blvd Ste 208
Lincoln, NE 68505-2343
Phone (402) 464-5969

Other names 1

  • Ashley Kuebler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20181105002835 NE Practitioner - Physician Assistant 2961755103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

315 W 11TH St
Kearney, NE 68845-7331
Phone (402) 464-5969

3901 Pine Lake Rd
Suite 405
Lincoln, NE 68516-5415
Phone (402) 464-5969

600 N Cotner Blvd
Lincoln, NE 68505-2343
Phone (402) 464-5969

638 N Webb Rd
Grand Island, NE 68803-4057
Phone (402) 464-5969

723 W Fairview St
Albion, NE 68620-1725
Phone (402) 464-5969

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2256NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy, Asthma & Immunology Associates P.C. CurrentSince Sep 22, 2018 Accepting new patients

Locations

723 W Fairview St
Albion, NE 68620
Phone (402) 385-3149

723 W Fairview St
#151
Albion, NE 68620
Phone (402) 395-2191

600 N Cotner Blvd
Ste 208
Lincoln, NE 68505

2808 S 80th Ave
Ste 210
Omaha, NE 68124

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1790267227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N COTNER BLVD STE 208",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052343",
            "telephone_number": "402-464-5969",
            "fax_number": "402-464-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N COTNER BLVD STE 208",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052343",
            "telephone_number": "402-464-5969",
            "fax_number": "402-464-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ASHLEY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "KUEBLER",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.