NPIMap

Organization Active NPI

Ashley Medical Center

  • Skilled Nursing Facility
  • Ashley, ND
National Provider Identifier
1841304342
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1001A Issued in ND
Legal business name
ASHLEY MEDICAL CENTER
Practice address
612 Center Ave N
Ashley, ND 58413-7013
Phone
(701) 288-3433
Fax
(701) 288-3938
NPI assigned
Aug 19, 2006
Organization subpart
Yes
Parent organization
ASHLEY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Mr. Jerry Lee Lepp
Title
Administrator/Ceo
Phone
(701) 288-3433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1001A ND Primary

Addresses

Primary practice location

612 Center Ave N
Ashley, ND 58413-7013

Mailing address

PO Box 450
612 Center Avenue North
Ashley, ND 58413-0450
Phone (701) 288-3433

Other identifiers 2

IdentifierTypeStateIssuer
3319OtherNDSKILLED NURSING FACILITY
30188MedicaidND

Other names 1

  • Ashley Medical Center LTC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031112000398 ND Part A Provider - Skilled Nursing Facility 8628981834 Practice locations: Ashley, ND

Skilled nursing facility certification: CCN 355091

Legal name
ASHLEY MEDICAL CENTER
Doing business as
ASHLEY MEDICAL CENTER SNF
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 7, 1985
Last certification
Jun 5, 2024
Beds
31
Ownership / control type
Corporation
Organization structure
CorporationNon-profit
Enrollment address
612 Center Ave N
Ashley, ND 58413-7013
Nursing home name
ASHLEY MEDICAL CENTER NURSING HOME

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ashley Medical Center Nursing HomeCCN 355091
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 7, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3129.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Ashley Medical Ctr5 organizations share this tax ID, including this one
Part of
Ashley Medical Ctr

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Adam Wishek Individual Corporate Director Oct 18, 2022 10%
Kristie Morrison Individual Corporate Director Feb 21, 2022 10%
Brenda M Meyer Individual Corporate Director Oct 17, 2016 10%
Corey Ulmer Individual Corporate OfficerChief Financial Officer Jul 1, 2023
Corporate DirectorChief Financial Officer Jul 1, 2023
W-2 Managing EmployeeChief Financial Officer Jul 1, 2023
Operational/Managerial Control Jan 2, 2025
Adp of the SNF Jan 20, 2025
Anthony Neu Individual Corporate Director Oct 15, 2017 10%
Joanne M Stugelmayer Individual Corporate Director May 20, 2019 10%
Eric J Heupel Individual Corporate OfficerAdminister/Ceo Apr 15, 2019
Corporate Director Apr 15, 2019 10%
W-2 Managing EmployeeAd; Apr 15, 2019
Operational/Managerial Control Jan 2, 2025
Adp of the SNF Jan 20, 2025
Brent Ulmer Individual Corporate Director Oct 23, 2024 10%
Steve Inglish Individual Contracted Managing EmployeeMD; Nov 6, 2023
Operational/Managerial Control Jan 2, 2025
Adp of the SNF Jan 20, 2025
Gwyn Schumacher Individual Corporate Director Oct 23, 2024 10%
Angela Bertsch Individual Corporate Director Oct 16, 2023 10%
Megan Thomas Individual Corporate Director Oct 19, 2020 10%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Steve Inglish, MD
    • Emergency Medicine Physician
    • Jamestown, ND
    • NPI 1902211410

    Adp of the SNF, Contracted Managing Employee, Operational/Managerial Control

    CMS ownership

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ashley Medical CenterAshley, ND, CCN 35Z322 Hospital Operational/Managerial Control Feb 13, 2001

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1841304342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "address_2": "612 CENTER AVENUE NORTH",
            "city": "ASHLEY",
            "state": "ND",
            "postal_code": "584130450",
            "telephone_number": "701-288-3433",
            "fax_number": "701-288-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 CENTER AVE N",
            "city": "ASHLEY",
            "state": "ND",
            "postal_code": "584137013",
            "telephone_number": "701-288-3433",
            "fax_number": "701-288-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASHLEY MEDICAL CENTER",
        "enumeration_date": "2006-08-19",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "LEPP",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "701-288-3433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ND",
            "license": "1001A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SKILLED NURSING FACILITY",
            "identifier": "3319",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30188",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashley Medical Center LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashley, ND

Sources for this page

Verify at the official NPI Registry.