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ASHLEY DOMZALSKI MSPAS
NPI 1093226557
Physician Assistant in Wynnewood, PA

Active since October 23, 2017PECOS EnrolledAccepts Medicare Assignment
100 E LANCASTER AVE, SUITE 256 MOB EAST, WYNNEWOOD, PA 19096(610) 642-6437 Get Directions Write a Review

NPPES record last updated: December 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2024, Sep 3, 2019, Oct 23, 2017 (3 updates tracked since 2017).

About Ashley Domzalski Mspas NPPES

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

ASHLEY DOMZALSKI MSPAS (NPI 1093226557) is an individual physician assistant in Wynnewood, Pennsylvania, licensed in Pennsylvania (MA060142) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Bryn Mawr Hospital, and maintains a secondary practice location in North Bergen.

NPPES Registry Identity

NPI1093226557
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameASHLEY DOMZALSKICredential: MSPAS
Location Address100 E LANCASTER AVE, SUITE 256 MOB EASTWynnewood, PA 19096-3432
Mailing Address72 Hemlock DrGlen Mills, PA 19342-1125
Phone(610) 642-6437
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 23, 2017
Last NPPES UpdateDecember 7, 20243 updates tracked since enumeration
NPPES CertifiedDecember 7, 2024
✔ NPI 1093226557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA060142
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
100 E LANCASTER AVE, Wynnewood, PA 19096
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Other Names 1

Former Name (1)Ashley Gomola

Secondary Practice Location 1

Location 17600 River RdNorth Bergen, NJ 07047-6217 · Phone (201) 854-5000

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 Domzalski Mspas 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 ID1254695430
PECOS Enrollment IDI20190925000437
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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19096 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 20

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

DR. AKHNUWKH JONES M.D.
Internal Medicine
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (610) 645-2000
AMANDA B CHRISTINI MD
Internal Medicine
100 E LANCASTER AVE, 4 PAVILION, SUITE 4303
WYNNEWOOD, PA 19096
Montgomery County (484) 476-6421
LAI KWAN LOUIE RPH
Pharmacist
100 E LANCASTER AVE, SUITE #12
WYNNEWOOD, PA 19096
Montgomery County (610) 658-8640
DANIEL WANG MD
Internal Medicine
100 E LANCASTER AVE, 4 PAVILION STE 4303
WYNNEWOOD, PA 19096
Montgomery County (484) 476-6421
SARAH TYRRELL CRNA
Nurse Anesthetist, Certified Registered
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (610) 645-2000
MARGARET MACK
Student in an Organized Health Care Education/Training Program
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (610) 642-3796
XIAOLING YU MD
Hospitalist
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (484) 476-6421
JONATHAN HONGYI CHEN MD
Student in an Organized Health Care Education/Training Program
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (484) 476-2000

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 Domzalski's NPI number?

The NPI number for Ashley Domzalski is 1093226557. It was assigned to this individual provider in the NPPES registry on October 23, 2017. The provider is also known as Ashley Gomola.

Where is Ashley Domzalski located?

Ashley Domzalski practices at 100 E Lancaster Ave Suite 256 Mob East, Wynnewood, PA 19096. The listed phone number is (610) 642-6437.

What is Ashley Domzalski's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ashley Domzalski enrolled in Medicare?

Yes. Ashley Domzalski 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.

Is Ashley Domzalski affiliated with any hospitals?

According to CMS data, Ashley Domzalski is affiliated with Bryn Mawr Hospital, Paoli Hospital, Main Line Hospital Lankenau and Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ashley Domzalski was last updated on December 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.