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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARIANNE BOMMELJE PAC
NPI 1841129814
Physician Assistant in Ashland, KY

Active since May 15, 2026PECOS Enrolled
2201 LEXINGTON AVE, ASHLAND, KY 41101(606) 408-4000 Get Directions Write a Review

NPPES record last updated: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 5, 2026, Oct 28, 2026, Sep 15, 2026 and 1 more (4 updates tracked since 2026).

About Marianne Bommelje Pac NPPES

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

MARIANNE BOMMELJE PAC (NPI 1841129814) is an individual physician assistant in Ashland, Kentucky, licensed in Kentucky (TC059) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841129814
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIANNE BOMMELJECredential: PAC
Location Address2201 LEXINGTON AVEAshland, KY 41101-2843
Mailing Address2201 Lexington AveAshland, KY 41101-2843
Phone(606) 408-4000
Sole ProprietorNo
Enumeration DateMay 15, 2026
Last NPPES UpdateNovember 5, 20264 updates tracked since enumeration
NPPES CertifiedNovember 5, 2026
✔ NPI 1841129814 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 KY · TC059
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.
2201 LEXINGTON AVE, Ashland, KY 41101
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Other Names 1

Other Name (5)Marianne Haines

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marianne Bommelje Pac 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 41101 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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.

DALKEITH FITZLAWSON TUCKER D.O.
Emergency Medicine
2201 LEXINGTON AVE
ASHLAND, KY 41101
Boyd County (606) 408-0605
ELIZABETH JEAN LOAN APRN
Nurse Practitioner (Family)
2201 LEXINGTON AVE
ASHLAND, KY 41101
Boyd County (606) 408-4000
DONALD A KRAFT MD
Emergency Medicine
2201 LEXINGTON AVE
ASHLAND, KY 41101
Boyd County (606) 327-4000
DOUGLAS M MOTTLEY M.D.
Specialist
2201 LEXINGTON AVE, SUITE 8B
ASHLAND, KY 41101
Boyd County (606) 327-5190
JASON G. ELLIS CRNA
Nurse Anesthetist, Certified Registered
2201 LEXINGTON AVE
ASHLAND, KY 41101
Boyd County (606) 408-4000
ASHLEY LUSTER
Pharmacist
2201 LEXINGTON AVE
ASHLAND, KY 41101
Boyd County (606) 408-1225
HASSAN R ABUL-KHOUDOUD MD
Hospitalist
2201 LEXINGTON AVE
ASHLAND, KY 41101
Boyd County (606) 408-4000
ASHLAND HOSPITAL CORPORATION
Durable Medical Equipment & Medical Supplies
2201 LEXINGTON AVE
ASHLAND, KY 41101
Boyd County (606) 408-4000

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 Marianne Bommelje's NPI number?

The NPI number for Marianne Bommelje is 1841129814. It was assigned to this individual provider in the NPPES registry on May 15, 2026. The provider is also known as Marianne Haines.

Where is Marianne Bommelje located?

Marianne Bommelje practices at 2201 Lexington Ave, Ashland, KY 41101. The listed phone number is (606) 408-4000.

What is Marianne Bommelje's specialty?

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

Is Marianne Bommelje enrolled in Medicare?

Yes. Marianne Bommelje is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marianne Bommelje was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.