Ashley Nichole Mott, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA07524 Issued in TX

Practice address

4450 Medical Dr FL 1
San Antonio, TX 78229-3710

Phone

(210) 575-3817

Fax

(210) 575-4113

NPI assigned

Dec 20, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Merit-based Incentive Payment System (MIPS)

Final score

84.46 of 100Reported as group

Quality

71.92

Promoting interoperability

99

Improvement activities

40

Cost

71.86

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1871862946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 MEDICAL DR FL 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293710",
            "telephone_number": "210-575-3817",
            "fax_number": "210-575-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 MEDICAL DR FL 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293710",
            "telephone_number": "210-575-3817",
            "fax_number": "210-575-4113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16040 Park Valley Dr Ste 111",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786813596",
            "country_code": "US",
            "telephone_number": "512-248-2200",
            "fax_number": "512-248-1950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTT",
        "first_name": "ASHLEY",
        "middle_name": "NICHOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bashir Motamedi, DMD
• Mother Earth Daycare LTD
• Motn Medical Provider Group, LLC
• Maurice Ndoh Moto, RN
• Carla Jean Moton, LCSW
• Cheryl Leah Motta, M.D.
• Mario Enrique Mottu, RN CRITICAL CARE
• Rajiv Moturu
• Anas Mouchli, MD
• Kala Moulder

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.

Verify at the official NPI Registry.