Ashley Bartlette Larsen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

102826 Issued in NC

Practice address

1112 Yancey St
Shelby, NC 28150-3672

Phone

(704) 481-7713

Fax

(704) 481-7663

NPI assigned

Feb 8, 2006

Last updated

Nov 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley Yvonne Bartlette Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• East Carolina Anesthesia Associates, PLLC

  • Anesthesiology Physician
  • Greenville, NC
  • NPI 1205996519
  Medicare reassignment
• Carolina Pain Care PC

  • Pain Medicine (Anesthesiology) Physician
  • Shelby, NC
  • NPI 1982129136
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1790758183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 YANCEY ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503672",
            "telephone_number": "704-481-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 YANCEY ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503672",
            "telephone_number": "704-481-7713",
            "fax_number": "704-481-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "ASHLEY",
        "middle_name": "BARTLETTE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BARTLETTE",
            "middle_name": "YVONNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey H Lacourse, DO
• Marina Ellen Laliberte, RN
• Charles Gordon Lampley IV, MD
• Robert Laney III, MD
• Larry E Cummins MD PC
• Kaitlynne Lynch Laughter, LCSWA
• Elizabeth Lee Lavender, RPH
• McKenzie Torren Lawrence, PA-C
• Lawson Support Services, LLC
• Marie Darlene Lawson, CNM

• Physician Assistant in Shelby, NC
• Providers in Shelby, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.