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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ASHLAN NICOLE DEROUEN
NPI 1851204663
Physician Assistant - Medical in Baltimore, MD

Active since September 23, 2026
4940 EASTERN AVE, BALTIMORE, MD 21224(410) 550-0100 Get Directions Write a Review

NPPES record added: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ashlan Nicole Derouen NPPES

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

ASHLAN NICOLE DEROUEN (NPI 1851204663) is an individual medical provider in Baltimore, Maryland and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1851204663
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameASHLAN NICOLE DEROUEN
Location Address4940 EASTERN AVEBaltimore, MD 21224-2735
Mailing Address123 Austin RdYoungsville, LA 70592-6307 · (337) 354-6081
Phone(410) 550-0100
Sole ProprietorNo
Enumeration DateSeptember 23, 2026
NPPES CertifiedSeptember 23, 2026
✔ NPI 1851204663 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
4940 EASTERN AVE, Baltimore, MD 21224
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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.

DR. SUSRUTHA KOTWAL MD
Internal Medicine
4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224
Baltimore City (410) 550-5018
DR. SAMANTHA A WOLFE MD
Otolaryngology
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-2370
MARK MILEY PA-C
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-9227
REID C. WILKINS MD
Pathology (Anatomic Pathology & Clinical Pathology)
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5568
DEREK MASON MD, MPH
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0100
RUCHITA SUDHIR PENDSE MD
Obstetrics & Gynecology
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5568
VIVIANA KATHERINE PEARSON NEONATAL NURSE PRACT
Registered Nurse (Neonatal Intensive Care)
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (443) 297-7701
BRUCE ROBERT GIBSON M.D.
Surgery
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0100

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 Ashlan Derouen's NPI number?

The NPI number for Ashlan Derouen is 1851204663. It was assigned to this individual provider in the NPPES registry on September 23, 2026.

Where is Ashlan Derouen located?

Ashlan Derouen practices at 4940 Eastern Ave, Baltimore, MD 21224. The listed phone number is (410) 550-0100.

What is Ashlan Derouen's specialty?

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

When was this NPI record last updated?

The NPPES record for Ashlan Derouen was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.