Individual provider Active NPI

Diane Ashley, PA-C

  • Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1821087552
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3260 Issued in FL
Practice address
18384 102ND Way S
Boca Raton, FL 33498-1663
Phone
(561) 350-3029
NPI assigned
Oct 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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 PA3260 FL Primary

Addresses

Primary practice location

18384 102ND Way S
Boca Raton, FL 33498-1663

Mailing address

18384 102ND Way S
Boca Raton, FL 33498-1663
Phone (561) 350-3029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050606000638 FL Practitioner - Physician Assistant 7911940465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endocrine Care of Boca Raton PLLCGroup PAC ID 8123405099, 2 clinicians

Practice addresses (Care Compare)

951 NW 13 St
Boca Raton, FL 33486-2337
Phone (561) 889-0388

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA3260FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Caps Medical Management LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: diane.ashley.1@26415.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1129334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1821087552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18384 102ND WAY S",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334981663",
            "telephone_number": "561-350-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18384 102ND WAY S",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334981663",
            "telephone_number": "561-350-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHLEY",
        "first_name": "DIANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-15",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.