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ASHLEY KLACZAK MUDRA PA-C
NPI 1275884769
Physician Assistant in Gainesville, FL

Active since September 25, 2012PECOS Enrolled
6224 NW 43RD ST STE A, GAINESVILLE, FL 32653(352) 332-6680(352) 332-6604 Get Directions Write a Review

NPPES record last updated: December 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 16, 2018, Jan 11, 2017 (2 updates tracked since 2017).

About Ashley Klaczak Mudra Pa-c NPPES

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

ASHLEY KLACZAK MUDRA PA-C (NPI 1275884769) is an individual physician assistant in Gainesville, Florida, licensed in Florida (PA9106644) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275884769
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameASHLEY KLACZAK MUDRACredential: PA-C
Location Address6224 NW 43RD ST STE AGainesville, FL 32653-8874
Mailing Address6224 Nw 43rd St Ste AGainesville, FL 32653-8874
Phone(352) 332-6680
Fax(352) 332-6604
Sole ProprietorNo
Enumeration DateSeptember 25, 2012
Last NPPES UpdateDecember 16, 20182 updates tracked since enumeration
✔ NPI 1275884769 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 FL · PA9106644
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.
6224 NW 43RD ST STE A, Gainesville, FL 32653
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Other Names 1

Former Name (1)Ashley A Klaczak Pa-c

Other Identifiers 1

Medicaid006689200FL

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 Klaczak Mudra 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 32653 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Mudra's NPI number?

The NPI number for Ashley Mudra is 1275884769. It was assigned to this individual provider in the NPPES registry on September 25, 2012. The provider is also known as Ashley A Klaczak Pa-C.

Where is Ashley Mudra located?

Ashley Mudra practices at 6224 NW 43rd St Ste A, Gainesville, FL 32653. The listed phone number is (352) 332-6680.

What is Ashley Mudra's specialty?

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

Is Ashley Mudra enrolled in Medicare?

Yes. Ashley Mudra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ashley Mudra was last updated on December 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.