ASHLEY MICHELLE CHURCH PA-C
NPI 1033800420
Physician Assistant - Medical in Grass Valley, CA

Q: What is Ashley Church's NPI number?

The NPI number for Ashley Church is 1033800420. It was assigned to this individual provider in the NPPES registry on May 16, 2023.

Q: What is Ashley Church's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Ashley Church was last updated on September 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 16, 2023PECOS EnrolledAccepts Medicare Assignment

844 OLD TUNNEL RD, GRASS VALLEY, CA 95945(530) 274-9762 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2024, Sep 13, 2024, Jul 13, 2023 and 1 more (4 updates tracked since 2023).

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About Ashley Michelle Church Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY MICHELLE CHURCH PA-C (NPI 1033800420) is an individual medical provider in Grass Valley, California, licensed in California (65056) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of University Of Nevada School Of Medicine (2024).

NPPES Registry Identity

NPI1033800420

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameASHLEY MICHELLE CHURCHCredential: PA-C

Location Address844 OLD TUNNEL RDGrass Valley, CA 95945-8524

Mailing Address11641 Edgewood RdAuburn, CA 95603-3403 · (530) 401-7216

Phone(530) 274-9762

Sole ProprietorNo

Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2024

Enumeration DateMay 16, 2023

Last NPPES UpdateSeptember 17, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2024

✔ NPI 1033800420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · 65056

844 OLD TUNNEL RD, Grass Valley, CA 95945

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashley Michelle Church Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375078892

PECOS Enrollment IDI20241120004634

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DARIN PETERS

Specialist/Technologist, Health Information