Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ASHLEY RUTH SHELSIE DESAMEAU PA-C
NPI 1114768207
Physician Assistant in Longmeadow, MA

Q: What is Ashley Desameau's NPI number?

The NPI number for Ashley Desameau is 1114768207. It was assigned to this individual provider in the NPPES registry on June 4, 2024.

Q: What is Ashley Desameau's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ashley Desameau was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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 04, 2024PECOS Enrolled

588 LONGMEADOW ST, LONGMEADOW, MA 01106(413) 565-1000 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 31, 2026, Jun 4, 2024 (2 updates tracked since 2024).

On this page

About Ashley Ruth Shelsie Desameau Pa-c NPPES

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

ASHLEY RUTH SHELSIE DESAMEAU PA-C (NPI 1114768207) is an individual physician assistant in Longmeadow, Massachusetts, licensed in Massachusetts (PA102859) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brighton.

NPPES Registry Identity

NPI1114768207

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameASHLEY RUTH SHELSIE DESAMEAUCredential: PA-C

Location Address588 LONGMEADOW STLongmeadow, MA 01106-2212

Mailing Address960 Massachusetts Avenue, Fl 2Boston, MA 02118

Phone(413) 565-1000

Sole ProprietorNo

Enumeration DateJune 4, 2024

Last NPPES UpdateJuly 31, 20262 updates tracked since enumeration

NPPES CertifiedJuly 31, 2026

✔ NPI 1114768207 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 MA · PA102859

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.

588 LONGMEADOW ST, Longmeadow, MA 01106

Open in Google Maps ↗

Secondary Practice Location 1

Location 111 Nevins St, Ste 505Brighton, MA 02135 · Phone (617) 414-2580

Other Identifiers 1

Medicaid110238068AMA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley Ruth Shelsie Desameau Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01106 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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.

MS. MAIA LAINE BONI

Student in an Organized Health Care Education/Training Program