ASHLI CORAZON BARTOLO PA
NPI 1396435350
Physician Assistant in Dallas, TX

Active since May 11, 2023PECOS Enrolled
14860 MONTFORT DR # 140, DALLAS, TX 75254(972) 201-3552 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 16, 2023, May 11, 2023 (2 updates tracked since 2023).

About Ashli Corazon Bartolo Pa NPPES

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

ASHLI CORAZON BARTOLO PA (NPI 1396435350) is an individual physician assistant in Dallas, Texas and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1396435350
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameASHLI CORAZON BARTOLOCredential: PA
Location Address14860 MONTFORT DR # 140Dallas, TX 75254-6718
Mailing Address14860 Montfort Dr # 140Dallas, TX 75254-6718
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 11, 2023
Last NPPES UpdateJanuary 24, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2025
NPI 1396435350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License PA18663 (TX)
14860 MONTFORT DR # 140, Dallas, TX 75254

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ashli Corazon Bartolo Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426549965
PECOS Enrollment IDI20260112002428
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 75254 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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 Ashli Bartolo's NPI number?

The NPI number for Ashli Bartolo is 1396435350. It was assigned to this individual provider in the NPPES registry on May 11, 2023.

Where is Ashli Bartolo located?

Ashli Bartolo practices at 14860 Montfort Dr # 140, Dallas, TX 75254. The listed phone number is (972) 201-3552.

What is Ashli Bartolo's specialty?

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

Is Ashli Bartolo enrolled in Medicare?

Yes. Ashli Bartolo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ashli Bartolo was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.