NPIMap

Individual provider Active NPI

Ashley Allen, PA-C

  • Medical Physician Assistant
  • Conway, AR
National Provider Identifier
1831526615
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-522 Issued in AR
Practice address
525 Western Ave Ste 301
Conway, AR 72034-4981
Phone
(501) 513-5295
Fax
(501) 513-5296
NPI assigned
Oct 11, 2013
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA-522 AR Primary

Addresses

Primary practice location

525 Western Ave Ste 301
Conway, AR 72034-4981

Mailing address

PO Box 9662
Conway, AR 72033-9662
Phone (501) 852-1363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140215000100 AR Practitioner - Physician Assistant 7517196579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

525 Western Ave
Suite 301
Conway, AR 72034-4981
Phone (501) 513-5295

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-522ARMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Feb 29, 2016 Accepting new patients
Conway Regional Medical Center Inc CurrentSince Aug 1, 2024 Accepting new patients
Conway Regional Medical Center, Inc. CurrentSince Aug 1, 2024 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Feb 29, 2016 Accepting new patients
Central Arkansas OBGYN PLLC PastSince Nov 24, 2019 Accepting new patients
Conway Regional Medical Center Inc Past Accepting new patients
PCMC-Conway PA Past Accepting new patients

Locations

525 Western Ave
Ste 301
Conway, AR 72034
Phone (501) 513-5295

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

Organizations & group practices 8

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 6

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": "1381449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1831526615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9662",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720339662",
            "telephone_number": "501-852-1363",
            "fax_number": "501-852-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WESTERN AVE STE 301",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344981",
            "telephone_number": "501-513-5295",
            "fax_number": "501-513-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ASHLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-11",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PA-522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.