Individual provider Active NPI

Ashley Nicole Lander

  • Physician Assistant
  • Henderson, KY
National Provider Identifier
1962199182
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10004962A Issued in IN
Practice address
6275 Marlyn LN
Henderson, KY 42420-9723
Phone
(270) 724-6243
NPI assigned
Apr 18, 2023
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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 10004962A IN Primary

Addresses

Primary practice location

6275 Marlyn LN
Henderson, KY 42420-9723

Mailing address

6275 Marlyn LN
Henderson, KY 42420-9723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250905002988 IN Practitioner - Physician Assistant 4385146679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

120 SE 4TH St
Evansville, IN 47708-1607
Phone (812) 426-6645

1414 W Broadway St
Deaconess Clinic Urgent Care Princeton
Princeton, IN 47670-1142
Phone (812) 385-5283

2622 Menards Dr
Evansville, IN 47715-8075
Phone (812) 450-2622

4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 490-4570

421 Chestnut St
Evansville, IN 47713-1227
Phone (812) 426-6645

4506 1St Ave
Evansville, IN 47710-3624
Phone (812) 428-6161

545 S Boehne Camp Rd
Evansville, IN 47712-3703
Phone (812) 429-1818

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10004962AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic, Inc CurrentSince Aug 11, 2025 Accepting new patients
Deaconess Clinic Inc Physician Assistant CurrentSince Aug 11, 2025 Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

Organizations & group practices 3

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 2

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": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1962199182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6275 MARLYN LN",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424209723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6275 MARLYN LN",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424209723",
            "telephone_number": "270-724-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDER",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004962A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.