Susan L. Ashley, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00028821 Issued in WA

Practice address

1431 N Liberty Lake Rd Ste B
Liberty Lake, WA 99019-8522

Phone

(509) 928-6700

Fax

(509) 928-0861

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Susan L. Jenkins Former name

Medicare fee-for-service enrollment

Enrolled in WA, ID2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

University of Texas Medical School at Houston, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Medicine Liberty Lake P CGroup PAC ID 0143364851, 4 clinicians

North Idaho Day Surgery LLCGroup PAC ID 0840101218, 87 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Specialty Hospital Hospital, Post Falls, ID, CCN 130066
• Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Family Medicine Liberty Lake P C

  • Family Medicine Physician
  • Liberty Lake, WA
  • NPI 1790013175
  Medicare reassignment Care Compare group Authorized official
• Healthy Living Premier Medical PLLC

  • Family Medicine Physician
  • Liberty Lake, WA
  • NPI 1952147886
  Medicare reassignment NPD Authorized official
• North Idaho Day Surgery LLC

  • General Acute Care Hospital
  • Post Falls, ID
  • NPI 1104824739
  Medicare reassignment Care Compare group
• CPF Breakthrough, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Spokane Valley, WA
  • NPI 1144821539
  NPD (past)
• Radia Inc P S

  • Diagnostic Radiology Physician
  • Lynnwood, WA
  • NPI 1932196607
  NPD (past)
• Payette Lakes Medical Clinic, PA

  • Primary Care Clinic/Center
  • McCall, ID
  • NPI 1255462263
  NPD (past)

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

• Kootenai Health, Inc.

  • General Acute Care Hospital
  • Coeur D Alene, ID
  • NPI 1992798409
  Care Compare affiliation
• North Idaho Day Surgery LLC

  • Multi-Specialty Clinic/Center
  • St Maries, ID
  • NPI 1093674301

  Hospital

  Care Compare affiliation
• North Idaho Day Surgery LLC

  • General Acute Care Hospital
  • Post Falls, ID
  • NPI 1104824739
  Care Compare affiliation
• North Idaho Day Surgery LLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Post Falls, ID
  • NPI 1649123589

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1821188640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 N LIBERTY LAKE RD STE B",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990198522",
            "telephone_number": "509-928-6700",
            "fax_number": "509-928-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 N LIBERTY LAKE RD STE B",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990198522",
            "telephone_number": "509-928-6700",
            "fax_number": "509-928-0861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15622 N Highway 41",
            "address_purpose": "LOCATION",
            "city": "Rathdrum",
            "state": "ID",
            "postal_code": "838588710",
            "country_code": "US",
            "telephone_number": "208-687-4878",
            "fax_number": "208-687-4879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHLEY",
        "first_name": "SUSAN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-14409",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00028821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821188640",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8139594",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "JENKINS",
            "middle_name": "L.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Taylor Ann Anderson, NA61214806
• Arrowleaf Family Chiropractic, PLLC
• Avanta Dental Liberty Lake
• Rose Lydia Ayars, LICSW
• Carrie Lynn Ayer, DMD
• Gloria Esmeralda Badillo, N.D.
• Drostan Gregg Baker, MD

• Family Medicine Physician in Liberty Lake, WA
• Providers in Liberty Lake, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.