ASHLEY NICOLE BURNETT PA-C
NPI 1265118350
Physician Assistant - Medical in Mill Valley, CA
About Ashley Nicole Burnett Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASHLEY NICOLE BURNETT PA-C (NPI 1265118350) is an individual medical provider in Mill Valley, California, licensed in California (PA65576) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
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 Nicole Burnett Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MILL VALLEY, CA 94941
MILL VALLEY, CA 94941
MILL VALLEY, CA 94941
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 Burnett's NPI number?
The NPI number for Ashley Burnett is 1265118350. It was assigned to this individual provider in the NPPES registry on June 23, 2023.
Where is Ashley Burnett located?
Ashley Burnett practices at 655 Redwood Hwy Ste 246, Mill Valley, CA 94941. The listed phone number is (805) 590-8099.
What is Ashley Burnett's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Ashley Burnett enrolled in Medicare?
Yes. Ashley Burnett is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ashley Burnett was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 Nicole Burnett, PA-C · NPI 1265118350
Medical physician in Mill Valley, California. Individual provider, active in the CMS NPPES registry since June 23, 2023.
## Identity
- **NPI:** 1265118350 (Entity type: Individual)
- **Enumerated:** June 23, 2023
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA65576 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 655 REDWOOD HWY, STE 246, Mill Valley, CA 94941-3055
- **Phone:** (805) 590-8099
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1265118350) · Data from the CMS NPPES public registry.