Individual provider Active NPI

Ashley Joy Pedigo, P.A

  • Physician Assistant
  • Evansville, IN
National Provider Identifier
1851834345
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10002166A Issued in IN
Practice address
4506 1St Ave
Evansville, IN 47710
Phone
(812) 428-6161
Fax
(812) 421-2883
NPI assigned
Dec 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10002166A IN
Physician Assistant 363A00000X 10002166A IN Primary

Addresses

Primary practice location

4506 1St Ave
Evansville, IN 47710

Mailing address

PO Box 1510
Evansville, IN 47706-1510
Phone (812) 450-6815

Other practice location 1

4972 Lincoln Ave
Ste 101
Evansville, IN 47715-7909
Phone (812) 402-3700

Other practice location 2

4972 Lincoln Ave
Ste 101
Evansville, IN 47715-7909
Phone (812) 402-3700

Other identifiers 1

IdentifierTypeStateIssuer
409570001OtherINMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161205000241 IN Practitioner - Physician Assistant 2062792328 Reassigns benefits to 1 organization
I20200211000971 KY Practitioner - Physician Assistant 2062792328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

1204 Williams St
Oakland City, IN 47660-1001
Phone (812) 749-6187

4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 490-4570

4209 Gateway Blvd
Newburgh, IN 47630-8900
Phone (812) 853-5300

421 Chestnut St
Evansville, IN 47713-1227
Phone (812) 426-6645

4233 Gateway Blvd
Newburgh, IN 47630-8900
Phone (812) 853-7391

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic, Inc. Physician Assistant CurrentSince Sep 17, 2018 Accepting new patients
Deaconess Clinic, Inc Physician Assistant CurrentSince Dec 26, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: apedigo88506@direct.deaconess.com

Organizations & group practices 4

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 2

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": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1851834345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4506 1ST AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47710",
            "telephone_number": "812-428-6161",
            "fax_number": "812-421-2883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4972 Lincoln Ave",
            "address_2": "STE 101",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477157909",
            "country_code": "US",
            "telephone_number": "812-402-3700",
            "fax_number": "812-402-4611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4972 Lincoln Ave",
            "address_2": "STE 101",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477157909",
            "country_code": "US",
            "telephone_number": "812-402-3700",
            "fax_number": "812-402-4611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDIGO",
        "first_name": "ASHLEY",
        "middle_name": "JOY",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10002166A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002166A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "409570001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.