ASHLEY SOUDERS
NPI 1063199479
Nurse Anesthetist, Certified Registered in Grand Forks, ND
About Ashley Souders NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASHLEY SOUDERS (NPI 1063199479) is an individual nurse anesthetist, certified registered in Grand Forks, North Dakota, licensed in Oregon (10032561) and active in the NPI registry since June 2023. She is affiliated with Samaritan Albany General Hospital, maintains a secondary practice location in Albany, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ashley Souders 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.
Medicare Billing Reassignments
3Medicare enrollment records show Ashley Souders reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sweet Home, OR 97386
- Reassigned Medicare billing, Oregon enrollment
- 416 clinicians in this Medicare group
Albany, OR 97322
- Reassigned Medicare billing, Oregon enrollment
- 432 clinicians in this Medicare group
Albany, OR 97321
- Reassigned Medicare billing, Oregon enrollment
- 522 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Samaritan Albany General Hospital
Acute Care Hospitals · Albany, ORSamaritan Lebanon Community Hospital
Critical Access Hospitals · Lebanon, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND FORKS, ND 58202
GRAND FORKS, ND 58202
GRAND FORKS, ND 58202
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ashley Souders's NPI number?
The NPI number for Ashley Souders is 1063199479. It was assigned to this individual provider in the NPPES registry on June 28, 2023.
Where is Ashley Souders located?
Ashley Souders practices at 430 Oxford St, Grand Forks, ND 58202. The listed phone number is (701) 777-4174.
What is Ashley Souders's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Ashley Souders enrolled in Medicare?
Yes. Ashley Souders is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ashley Souders's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Souders reassigns Medicare benefits to 3 organizations: Mid-Valley Healthcare, Inc. (Sweet Home, OR), Albany General Hospital (Albany, OR) and Good Samaritan Hospital Corvallis (Albany, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashley Souders's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ashley Souders affiliated with any hospitals?
According to CMS data, Ashley Souders is affiliated with Samaritan Albany General Hospital and Samaritan Lebanon Community Hospital.
When was this NPI record last updated?
The NPPES record for Ashley Souders was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ashley Souders · NPI 1063199479
Nurse Anesthetist, Certified Registered physician in Grand Forks, North Dakota. Individual provider, active in the CMS NPPES registry since June 28, 2023.
## Identity
- **NPI:** 1063199479 (Entity type: Individual)
- **Enumerated:** June 28, 2023
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 10032561 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 430 OXFORD ST, Grand Forks, ND 58202-6092
- **Phone:** (701) 777-4174
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mid-Valley Healthcare, Inc. (NPI 1528334125, Sweet Home, OR); Albany General Hospital (NPI 1851628648, Albany, OR); Good Samaritan Hospital Corvallis (NPI 1063779205, Albany, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063199479) · Data from the CMS NPPES public registry.