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ASHLEY KEOHAVONG
NPI 1306657283
Physician Assistant - Medical in Manchester, NH

Active since January 18, 2025PECOS Enrolled
1260 ELM ST, MANCHESTER, NH 03101(603) 314-1701 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2026, Feb 6, 2025 (2 updates tracked since 2025).

About Ashley Keohavong NPPES

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

ASHLEY KEOHAVONG (NPI 1306657283) is an individual medical provider in Manchester, New Hampshire, licensed in (1243515) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306657283
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameASHLEY KEOHAVONG
Location Address1260 ELM STManchester, NH 03101-1305
Mailing Address1260 Elm StManchester, NH 03101-1305
Phone(603) 314-1701
Sole ProprietorNo
Enumeration DateJanuary 18, 2025
Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1306657283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed · 1243515
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 1243515
1260 ELM ST, Manchester, NH 03101
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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 Keohavong 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.

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.

SABRINA ACCARDI
Student in an Organized Health Care Education/Training Program
1260 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 314-1701
SAMANTHA MAY TYRRELL PA
Student in an Organized Health Care Education/Training Program
1260 ELM ST
MANCHESTER, NH 03101
Hillsborough County (401) 862-6636
BETSY GARNICK PA
Physician Assistant
1260 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 314-1701
MR. THOMAS KYSOR
Physician Assistant
1260 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 801-1412
EMILY FREID
Physician Assistant
1260 ELM ST
MANCHESTER, NH 03101
Hillsborough County (978) 764-2000
KRISTINE WILLETT PHARM.D.
Pharmacist
1260 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 314-1778
JANET STAMMELY LICSW
Social Worker (Clinical)
1260 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 314-1781
CHRISTOPHER WHITNEY
Physician Assistant (Medical)
1260 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 314-1701

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 Keohavong's NPI number?

The NPI number for Ashley Keohavong is 1306657283. It was assigned to this individual provider in the NPPES registry on January 18, 2025.

Where is Ashley Keohavong located?

Ashley Keohavong practices at 1260 Elm St, Manchester, NH 03101. The listed phone number is (603) 314-1701.

What is Ashley Keohavong's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ashley Keohavong enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ashley Keohavong was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.