ASHLENA DASS – Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1891112652

ASHLENA DASS is a healthcare provider. based in Eureka, California. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA51482 (CA). The NPI Number for ASHLENA DASS is 1891112652

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
ASHLENA DASS
NPI
1891112652
Phone
Not provided
Address
1630 4TH ST
Enumeration Date
18 March 2014
Last Update Date
3 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7076244000
Graduation Year
2013 (13 years ago)
PAC ID
7113141029
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20140616002339
Address ID
CA956889494VA1XXXXDRXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:12State licenses:2Other namesUpdated within 12 months

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for ASHLENA DASS

  • 1630 4TH ST

    EUREKA, CA 955010720

    Phone:

    Type: Mailing

  • 1904 RICHLAND AVE

    CERES, CA 953074562

    Phone: (209) 300-8800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-06-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140616002339IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

What identifier follows ASHLENA DASS across health systems?
The NPI 1891112652 uniquely identifies ASHLENA DASS in U.S. healthcare data.
Is ASHLENA DASS's NPI status active today?
Active status means ASHLENA DASS's NPI record is not deactivated in the public file.
What services align with ASHLENA DASS's listing?
ASHLENA DASS's public classification highlights Psychiatric/Mental Health Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
Can patients visit ASHLENA DASS in Eureka, California?
For routing, start with Eureka, California for ASHLENA DASS, then verify phone and hours locally.
Why is information missing for ASHLENA DASS?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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