Individual provider Active NPI

Ashley E Mychak, DPM

  • Foot & Ankle Surgery Podiatrist
  • Rockport, ME
National Provider Identifier
1861831075
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD1109 Issued in ME
Practice address
4 Glen Cove Dr Ste 205
Rockport, ME 04856-4237
Phone
(207) 301-5700
Fax
(207) 301-5370
NPI assigned
Jun 20, 2013
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36-003866 OH
Foot & Ankle Surgery Podiatrist 213ES0103X POD1109 ME Primary

Addresses

Primary practice location

4 Glen Cove Dr Ste 205
Rockport, ME 04856-4237

Mailing address

4 Glen Cove Dr Ste 205
Rockport, ME 04856-4237
Phone (207) 301-5700

Other practice location 1

3373 Commerce Pkwy Ste 2
Wooster, OH 44691-7130
Phone (330) 804-9712

Other identifiers 1

IdentifierTypeStateIssuer
0262019MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191017001258 ME Practitioner - Podiatry 1951661545 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

4 Glen Cove Dr
Suite 205
Rockport, ME 04856-4237
Phone (207) 921-5700

6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8969

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.98 of 100Reported as group
Quality
74.88
Promoting interoperability
96
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.63 of 100Reported as group
Quality
77.69
Promoting interoperability
95
Improvement activities
40
Cost
78.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of nail tissue1-10
Removal or shaving of skin growth15
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36-003866OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince May 19, 2025 Accepting new patients
Mainegeneral Medical Center CurrentSince Nov 4, 2019 Accepting new patients
Mainegeneral Medical Center CurrentSince Nov 4, 2019 Accepting new patients
Mainehealth CurrentSince May 19, 2025 Accepting new patients
Mainehealth CurrentSince Jan 12, 2026 Accepting new patients
Mainehealth Past Accepting new patients

Locations

15 Enterprise Dr
Augusta, ME 04330
Phone (207) 621-7500

16 Fahy St
Ste 201
Belfast, ME 04915
Phone (207) 505-4491

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

4 Glen Cove Dr
Ste 205
Rockport, ME 04856
Phone (207) 301-5700

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • Direct secure messaging: amychak904012@direct.mmc.mainehealth.org

Organizations & group practices 6

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 3

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": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1861831075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GLEN COVE DR STE 205",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564237",
            "telephone_number": "207-301-5700",
            "fax_number": "207-301-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GLEN COVE DR STE 205",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564237",
            "telephone_number": "207-301-5700",
            "fax_number": "207-301-5370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3373 Commerce Pkwy Ste 2",
            "address_purpose": "LOCATION",
            "city": "Wooster",
            "state": "OH",
            "postal_code": "446917130",
            "country_code": "US",
            "telephone_number": "330-804-9712",
            "fax_number": "330-804-9811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYCHAK",
        "first_name": "ASHLEY",
        "middle_name": "E",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36-003866",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ME",
            "license": "POD1109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0262019",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, ME

Sources for this page

Verify at the official NPI Registry.