Active NPI
Ashley Lauren Lipp, PA-C
- Physician Assistant
- Brookings, SD
National Provider Identifier
1871046136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1056
- Practice address
- 400 22ND Ave
Brookings, SD 57006-2447 - Phone
- (605) 697-9500
- NPI assigned
- Aug 3, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1056 | SD | Primary |
Addresses
Primary practice location
400 22ND Ave
Brookings, SD 57006-2447
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
701 3rd Ave S
Clear Lake, SD 57226-2016
Phone (605) 874-2141
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alipp6759980@direct.sanfordhealth.org | ||
| Direct Messaging Address | alipp6759980@direct.sanfordhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161206002360 | SD | Practitioner - Physician Assistant | 9032499199 | Reassigns benefits to 7 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- City of BrookingsRural Health Care Inc
Practice addresses (Care Compare)
300 22ND Ave
Brookings, SD 57006-2480
Phone (605) 692-6351
400 22ND Ave
Brookings, SD 57006-2450
Phone (605) 697-9500
Hospital & facility affiliations
- Brookings Health System
- Sanford Clear Lake Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12616 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Rural Health Care, Inc | Current | Accepting new patients | |
| Prairie Lakes Health Care System Inc | Current | Accepting new patients | |
| City of Brookings | Current | Accepting new patients | |
| City of Brookings | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Prairie Lakes Health Care System Inc | Physician Assistant | Current | Accepting new patients |
| Rural Health Care, Inc | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Physician Assistant | Past | Accepting new patients |
| Rural Health Care, Inc. | Past | Accepting new patients | |
| Avera McKennan | Past | Accepting new patients |
Locations
310 22nd Ave
Brookings, SD 57006
Phone (605) 696-2700
400 22nd Ave
Ste 1
Brookings, SD 57006
Phone (605) 697-9500
400 22nd Ave
Brookings, SD 57006
Phone (605) 692-6236
300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351
701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141
20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611
401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317
Interoperability endpoints
- ashley.lipp@avera.sdhealthlink.net
Organizations & group practices 34
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.
-
- Rural Health Clinic/Center
- Arlington, SD
- NPI 1902123581
-
- Federally Qualified Health Center (FQHC)
- Brookings, SD
- NPI 1386254191
-
- Federally Qualified Health Center (FQHC)
- Marshall, MN
- NPI 1740944602
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
SD
-
- General Acute Care Hospital
- Brookings, SD
- NPI 1275515579
-
- Community Based Hospice Care Agency
- Brookings, SD
- NPI 1306928494
Hospital & facility affiliations 5
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": "1470182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1871046136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 22ND AVE",
"city": "BROOKINGS",
"state": "SD",
"postal_code": "570062447",
"telephone_number": "605-697-9500"
}
],
"practiceLocations": [
{
"address_1": "701 3rd Ave S",
"address_purpose": "LOCATION",
"city": "Clear Lake",
"state": "SD",
"postal_code": "572262016",
"country_code": "US",
"telephone_number": "605-874-2141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIPP",
"first_name": "ASHLEY",
"middle_name": "LAUREN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-03",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SD",
"license": "1056",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "alipp6759980@direct.sanfordhealth.org",
"affiliation": "N",
"address_1": "701 3rd Ave S",
"city": "Clear Lake",
"state": "SD",
"country_code": "US",
"postal_code": "572262016",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "alipp6759980@direct.sanfordhealth.org",
"affiliation": "N",
"address_1": "701 3rd Ave S",
"city": "Clear Lake",
"state": "SD",
"country_code": "US",
"postal_code": "572262016",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brookings, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.