TICE ASHURST D.O.
NPI 1689968984
Emergency Medicine in Hershey, PA
About Tice Ashurst D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TICE ASHURST D.O. (NPI 1689968984) is an individual emergency medicine provider in Hershey, Pennsylvania, licensed in Pennsylvania (OT014277) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Wayne.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tice Ashurst D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tice Ashurst reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Emergency Professionals Of Indiana PC
- 404 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HERSHEY, PA 17033
HERSHEY, PA 17033
HERSHEY, PA 17033
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 Tice Ashurst's NPI number?
The NPI number for Tice Ashurst is 1689968984. It was assigned to this individual provider in the NPPES registry on June 3, 2011.
Where is Tice Ashurst located?
Tice Ashurst practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (717) 531-8521.
What is Tice Ashurst's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Tice Ashurst enrolled in Medicare?
Yes. Tice Ashurst is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tice Ashurst's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tice Ashurst reassigns Medicare benefits to Emergency Professionals Of Indiana, P.C. (Fort Wayne, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tice Ashurst's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tice Ashurst was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Tice Ashurst, D.O. · NPI 1689968984
Emergency Medicine physician in Hershey, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 3, 2011.
## Identity
- **NPI:** 1689968984 (Entity type: Individual)
- **Enumerated:** June 3, 2011
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** OT014277 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 500 UNIVERSITY DR, Hershey, PA 17033-2360
- **Phone:** (717) 531-8521
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Emergency Professionals Of Indiana, P.C. (NPI 1013951219, Fort Wayne, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 30, 2025
- **Other identifiers:** Medicaid 0118784 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1689968984) · Data from the CMS NPPES public registry.