MRS. ASHLEY MARIE CARROLL (PA-C) – Physician Assistant, NPI 1619100278
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
Provider Addresses for MRS. ASHLEY MARIE CARROLL (PA-C)
2790 Clay Edwards Dr Ste 625
North Kansas City, MO 641163278
Phone: (816) 455-3990
Fax: (816) 455-5351
Type: Location
20375 W 151ST ST STE 463
OLATHE, KS 660617210
Phone: (913) 588-1227
Type: Location
Kaiser Permanente Baldwin Park Medical Center, 1011, Baldwin Park Boulevard, Baldwin Park, Los Angeles County, California, 91706, United States
DEPARTMENT OF VASCULAR SURGERY
BALDWIN PARK, CA 917065806
Phone: (626) 851-5800
Type: Mailing
2790 CLAY EDWARDS DR STE 625
NORTH KANSAS CITY, MO 641163278
Phone: (816) 455-3990
Fax: (816) 455-5351
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: 2026-01-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091211000435 | I | Physician Assistant | CA | TBD |
| I20220812001136 | I | Physician Assistant | MO | TBD |
| I20260102001630 | I | Physician Assistant | KS | TBD |
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.
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 64116)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | KS | |
| Nurse Practitioner | KS | |
| - | MO | |
| - | KS | |
| - | KS | |
| - | MO | |
| Qualified Audiologist | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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