LUCAS WADE ASHLEY MD
NPI 1639965106
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Q: What is Lucas Ashley's NPI number?

The NPI number for Lucas Ashley is 1639965106. It was assigned to this individual provider in the NPPES registry on April 19, 2025.

Q: What is Lucas Ashley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Lucas Ashley was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since April 19, 2025PECOS Enrolled

2450 RIVERSIDE AVE # R200, MINNEAPOLIS, MN 55454(612) 273-1177 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lucas Wade Ashley Md NPPES

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

LUCAS WADE ASHLEY MD (NPI 1639965106) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639965106

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameLUCAS WADE ASHLEYCredential: MD

Location Address2450 RIVERSIDE AVE # R200Minneapolis, MN 55454-1450

Mailing Address2450 Riverside Ave # R200Minneapolis, MN 55454-1450

Phone(612) 273-1177

Sole ProprietorNo

Enumeration DateApril 19, 2025

Last NPPES UpdateApril 21, 2025

NPPES CertifiedApril 21, 2025

✔ NPI 1639965106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2450 RIVERSIDE AVE # R200, Minneapolis, MN 55454

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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)

Lucas Wade Ashley Md 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.

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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.

ANDREW FORREST ORMSETH MD

Student in an Organized Health Care Education/Training Program