Individual provider Active NPI

Ashley Johnson, PA-C

  • Physician Assistant
  • Vermillion, SD
National Provider Identifier
1942728183
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1106 Issued in SD
Practice address
101 S Plum St
Vermillion, SD 57069-3306
Phone
(605) 624-8643
NPI assigned
Sep 8, 2017
Last updated
May 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1106OtherSDMEDICAL LICENSE
1145505OtherNCCPA CERTIFICATION

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171103001491 SD Practitioner - Physician Assistant 8123384336 Reassigns benefits to 4 organizations

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
Yankton Medical Clinic PCGroup PAC ID 1850208778, 59 clinicians
Sacred Heart Health ServicesGroup PAC ID 6103729066, 151 clinicians
Hawarden Regional Healthcare Clinics LLCGroup PAC ID 7517929532, shared by 2 NPIs, 20 clinicians

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

LicenseStateTypeSpecialty
2698NEMDPhysical Therapist
1106SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Jun 13, 2025 Accepting new patients
Avera McKennan CurrentSince Jun 13, 2025 Accepting new patients
Yankton Medical Clinic PC Current Accepting new patients
Sacred Heart Health Services CurrentSince Jan 1, 2026 Accepting new patients
Yankton Medical Clinic PC CurrentSince Jun 24, 2024 Accepting new patients
Sacred Heart Health Services CurrentSince Jan 1, 2026 Accepting new patients
Sanford Health Network Current Accepting new patients
Yankton Medical Clinic PC CurrentSince Jun 24, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.