ASHLEY KRISTEN GOODACRE PA-C
NPI 1477806727
Physician Assistant - Medical in San Diego, CA

Q: What is Ashley Goodacre's NPI number?

The NPI number for Ashley Goodacre is 1477806727. It was assigned to this individual provider in the NPPES registry on October 24, 2012.

Q: What is Ashley Goodacre's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ashley Goodacre was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 24, 2012PECOS Enrolled

4510 EXECUTIVE DR STE 200, SAN DIEGO, CA 92121(858) 453-7224 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Ashley Kristen Goodacre Pa-c NPPES

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

ASHLEY KRISTEN GOODACRE PA-C (NPI 1477806727) is an individual medical provider in San Diego, California, licensed in California (PA22641) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477806727

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameASHLEY KRISTEN GOODACRECredential: PA-C

Location Address4510 EXECUTIVE DR STE 200San Diego, CA 92121-3023

Mailing Address3829 Narragansett AveSan Diego, CA 92107-2616 · (909) 648-6612

Phone(858) 453-7224

Sole ProprietorNo

Enumeration DateOctober 24, 2012

Last NPPES UpdateDecember 29, 2023

NPPES CertifiedDecember 29, 2023

✔ NPI 1477806727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA22641

4510 EXECUTIVE DR STE 200, San Diego, CA 92121

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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 Kristen Goodacre 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

21 services21 patients

Other Providers at the Same Location NPPES 4

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

KELLY HORTON LE, FN-P

Health and Wellness Coach

4510 EXECUTIVE DR STE 200
SAN DIEGO, CA 92121

San Diego County (858) 289-5402

STEVEN R COHEN M.D.

Plastic Surgery (Plastic Surgery Within the Head and Neck)

4510 EXECUTIVE DR STE 200
SAN DIEGO, CA 92121

San Diego County (858) 842-2370

SHANNA E. AVILA PA

Physician Assistant

4510 EXECUTIVE DR STE 200
SAN DIEGO, CA 92121

San Diego County (858) 544-3005

FACESPLUS INC

Plastic Surgery

4510 EXECUTIVE DR STE 200
SAN DIEGO, CA 92121

San Diego County (858) 842-2370

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 Goodacre's NPI number?

The NPI number for Ashley Goodacre is 1477806727. It was assigned to this individual provider in the NPPES registry on October 24, 2012.

Where is Ashley Goodacre located?

Ashley Goodacre practices at 4510 Executive Dr Ste 200, San Diego, CA 92121. The listed phone number is (858) 453-7224.

What is Ashley Goodacre's specialty?

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

Is Ashley Goodacre enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ashley Goodacre was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.