ASHLEY SOUDERS
NPI 1063199479
Nurse Anesthetist, Certified Registered in Grand Forks, ND

Q: 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.

Q: What is Ashley Souders's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: 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 18 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.

Active since June 28, 2023Accepts Medicare Assignment

430 OXFORD ST, GRAND FORKS, ND 58202(701) 777-4174 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1063199479

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameASHLEY SOUDERS

Location Address430 OXFORD STGrand Forks, ND 58202-6092

Mailing Address734 Great Plains CtGrand Forks, ND 58201-7248 · (727) 459-8625

Phone(701) 777-4174

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 28, 2023

Last NPPES UpdateJanuary 24, 2025

NPPES CertifiedJanuary 24, 2025

✔ NPI 1063199479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in OR · 10032561

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License R51326 (ND)

430 OXFORD ST, Grand Forks, ND 58202

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Secondary Practice Location 1

Location 11046 6th Ave SWAlbany, OR 97321-1916 · Phone (541) 812-4000

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 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.

PECOS PAC ID7911438049

PECOS Enrollment IDI20241001000825

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, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380022

Location1046 6th Avenue SWAlbany, OR 97321 · Linn County

Emergency services Birthing friendly

Samaritan Lebanon Community Hospital

Critical Access Hospitals · Lebanon, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number381323

Location525 N Santiam HighwayLebanon, OR 97355 · Linn County

Emergency services Birthing friendly

Physician 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.

New Patient

$127.45 typical visit price

range $55.75 – $168.12

Typical copayment $31.86 (range $13.93 – $42.03)

Most-billed visit code 99204

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AUSTIN GLEN NAGEL

Student in an Organized Health Care Education/Training Program