Active NPI
Ashley Johnson, PA-C
- Physician Assistant
- Vermillion, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1106
- Practice address
- 101 S Plum St
Vermillion, SD 57069-3306 - Phone
- (605) 624-8643
- NPI assigned
- Sep 8, 2017
- Last updated
- May 22, 2024
- 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 | 1106 | SD | Primary |
Addresses
Primary practice location
101 S Plum St
Vermillion, SD 57069-3306
Mailing address
1104 W 8TH St
Yankton, SD 57078-3306
Phone (605) 665-7841
Other practice location 1
1104 W 8th St
Yankton, SD 57078-3306
Phone (605) 665-7841
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1106 | Other | SD | MEDICAL LICENSE |
| 1145505 | Other | NCCPA CERTIFICATION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ajohnson@yanktonmedicalclinic.nextgenshare.com | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hawarden Regional Healthcare Clinics LLC
Practice addresses (Care Compare)
101 S Plum St
Vermillion, SD 57069-3306
Phone (605) 624-8643
1104 W 8TH St
Yankton, SD 57078-3306
Phone (605) 665-7841
1122 12TH St
Hawarden, IA 51023-1900
Phone (712) 551-3400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2698 | NE | MD | Physical Therapist |
| 1106 | SD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Yankton Medical Clinic PC | Current | Accepting new patients | |
| Sacred Heart Health Services | Current | Accepting new patients | |
| Yankton Medical Clinic PC | Current | Accepting new patients | |
| Sacred Heart Health Services | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Yankton Medical Clinic PC | Current | Accepting new patients | |
| Avera McKennan | Past | Accepting new patients | |
| Avera McKennan | Physician Assistant | Past | Accepting new patients |
| Sacred Heart Health Services | Past | Accepting new patients |
Locations
111 E 10th St
Dell Rapids, SD 57022
Phone (605) 428-5446
101 S Plum St
Vermillion, SD 57069
Phone (605) 624-8643
20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611
1104 W 8th St
Yankton, SD 57078
Phone (605) 665-7841
501 Summit St
Yankton, SD 57078
Phone (605) 655-1201
Interoperability endpoints
- ajohnson@direct.yanktonmedicalclinic.nextgenshare.com
Organizations & group practices 12
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.
-
- Internal Medicine Physician
- Yankton, SD
- NPI 1447251350
-
dba Avera Sacred Heart Hospital
- Emergency Care Clinic/Center
- Yankton, SD
- NPI 1861611683
-
dba Sanford Care Center Vermillion
- Critical Access Hospital
- Vermillion, SD
- NPI 1790721280
-
dba Avera McKennan Behavioral Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
dba Avera Interventional Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
dba Avera Medical Group-Internal Medicine-Women's
- Internal Medicine Physician
- Sioux Falls, SD
- NPI 1104187343
-
- General Practice Physician
- Yankton, SD
- NPI 1205703659
-
dba Avera Medical Group Podiatry Yankton
- Foot & Ankle Surgery Podiatrist
- Yankton, SD
- NPI 1508093147
-
- Ambulatory Surgical Clinic/Center
- Yankton, SD
- NPI 1174502561
-
dba Yankton Medical Clinic Pharmacy
- Community/Retail Pharmacy
- Yankton, SD
- NPI 1811003866
-
dba Milbank Area Hospital After Hours Clinic
- Critical Access Hospital Clinic/Center
- Milbank, SD
- NPI 1013024009
-
dba Avera Medical Group
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1376575514
Physician Assistant
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Avera Dells Area Hospital
- Critical Access Hospital
- Dell Rapids, SD
- NPI 1154350064
-
dba Sanford Clinic Vermillion
- Family Medicine Physician
- Vermillion, SD
- NPI 1013921733
Hospital
-
dba Sanford Care Center Vermillion
- Critical Access Hospital
- Vermillion, SD
- NPI 1790721280
-
- Critical Access Hospital
- Hawarden, IA
- NPI 1841261104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1942728183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 W 8TH ST",
"city": "YANKTON",
"state": "SD",
"postal_code": "570783306",
"telephone_number": "605-665-7841",
"fax_number": "605-665-8337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S PLUM ST",
"city": "VERMILLION",
"state": "SD",
"postal_code": "570693306",
"telephone_number": "605-624-8643"
}
],
"practiceLocations": [
{
"address_1": "1104 W 8th St",
"address_purpose": "LOCATION",
"city": "Yankton",
"state": "SD",
"postal_code": "570783306",
"country_code": "US",
"telephone_number": "605-665-7841",
"fax_number": "605-665-8337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "ASHLEY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-08",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SD",
"license": "1106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "1106",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA CERTIFICATION",
"identifier": "1145505",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ajohnson@yanktonmedicalclinic.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "101 S Plum St",
"city": "Vermillion",
"state": "SD",
"country_code": "US",
"postal_code": "570693306",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vermillion, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.