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ASHLEY LYN JOHANSSON PA-C
NPI 1457995490
Physician Assistant in Rockledge, FL

Active since November 02, 2019PECOS Enrolled
830 EXECUTIVE LN STE 150, ROCKLEDGE, FL 32955(321) 877-1800 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2020, Nov 2, 2019 (2 updates tracked since 2019).

About Ashley Lyn Johansson Pa-c NPPES

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

ASHLEY LYN JOHANSSON PA-C (NPI 1457995490) is an individual physician assistant in Rockledge, Florida, licensed in Florida (PA9112715) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457995490
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameASHLEY LYN JOHANSSONCredential: PA-C
Location Address830 EXECUTIVE LN STE 150Rockledge, FL 32955-3595
Mailing Address2073 Sykes Creek DrMerritt Island, FL 32953-3066 · (321) 604-8718
Phone(321) 877-1800
Sole ProprietorNo
Enumeration DateNovember 2, 2019
Last NPPES UpdateMay 22, 20202 updates tracked since enumeration
NPPES CertifiedMay 22, 2020
✔ NPI 1457995490 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 · PA9112715
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.
830 EXECUTIVE LN STE 150, Rockledge, FL 32955
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Other Names 1

Former Name (1)Ashley Lyn Smith

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 Lyn Johansson 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 32955 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers19 claims48 services$6.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BARBARA WHITE MSN, APRN, FNP-C
Nurse Practitioner (Primary Care)
830 EXECUTIVE LN STE 150
ROCKLEDGE, FL 32955
Brevard County (321) 877-1800

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 Johansson's NPI number?

The NPI number for Ashley Johansson is 1457995490. It was assigned to this individual provider in the NPPES registry on November 2, 2019. The provider is also known as Ashley Lyn Smith.

Where is Ashley Johansson located?

Ashley Johansson practices at 830 Executive Ln Ste 150, Rockledge, FL 32955. The listed phone number is (321) 877-1800.

What is Ashley Johansson's specialty?

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

Is Ashley Johansson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ashley Johansson was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.