ASHLEY ELIZABETH ELLEDGE (PAC) – Physician Assistant, NPI 1093795114

ASHLEY ELIZABETH ELLEDGE (PAC) is a healthcare provider. based in Mcalester, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 1511 (OK). The NPI Number for ASHLEY ELIZABETH ELLEDGE (PAC) is 1093795114

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
ASHLEY ELIZABETH ELLEDGE (PAC)
NPI
1093795114
Phone
(918) 423-8440
Address
1127 S GEORGE NIGH EXPY
Enumeration Date
17 January 2006
Last Update Date
4 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9185677000
Graduation Year
2005 (21 years ago)
PAC ID
4688689375
Group Practice PAC ID
1759294838
Professional Enrollment ID
I20060216000409
Address ID
OK745017143MC1127XEXPY501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Loading map...

Provider Addresses for ASHLEY ELIZABETH ELLEDGE (PAC)

  • South George Nigh Expressway, McAlester, Pittsburg County, Oklahoma, 74501, United States

    MCALESTER, OK 745017143

    Phone: (918) 423-8440

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2006-02-16

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
I20060216000409IPhysician AssistantTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes166110$0
99214Established patient office or other outpatient visit, 30-39 minutes10488$0
71046X-ray of chest, 2 views1715$0
View full utilization report →

Insurance plans in this area (ZIP 74501)

Loading plans...

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: 1759294838View full group profile
NameSpecialtyState
-TX
-OK
Diagnostic RadiologyOK
Nurse PractitionerOK
N E U R O L O G YAR
E N D O C R I N O L O G YAR
Mental Health CounselorOK
O P T O M E T R YOK
-OK
Interventional Radiology, Diagnostic Radiology, Diagnostic RadiologyOK

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to ASHLEY ELIZABETH ELLEDGE (PAC)?
NPI 1093795114 is assigned to ASHLEY ELIZABETH ELLEDGE (PAC) under the national enumeration system.
Is ASHLEY ELIZABETH ELLEDGE (PAC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does ASHLEY ELIZABETH ELLEDGE (PAC) work in?
You can think of ASHLEY ELIZABETH ELLEDGE (PAC) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is ASHLEY ELIZABETH ELLEDGE (PAC)'s primary listing?
We display Mcalester, Oklahoma because that is what the record indicates for ASHLEY ELIZABETH ELLEDGE (PAC).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

MCALESTER MEDICAL SERVICES, LLC

Internal Medicine Physician
1, Clark Bass Boulevard, McAlester, Pittsburg County, Oklahoma, 74501, United States
NPI: 1154317998
3101 ELKS ROAD
NPI: 1851354427

MARION P GIBSON (PA)

Physician Assistant
PO BOX 908
NPI: 1801859012

JOHNNY RAY MCCABE (PA-C)

Physician Assistant
1, Clark Bass Boulevard, McAlester, Pittsburg County, Oklahoma, 74501, United States
NPI: 1912960196

GINA LOUISE POWERS (PA-C)

Physician Assistant
6600, South Yale Avenue, Southridge Estates, Tulsa, Tulsa County, Oklahoma, 74137, United States
NPI: 1881659100
12 BOILING SPRINGS EST
NPI: 1043276694

DOUGLAS H. HUBER (P.A.)

Physician Assistant
19 KIAMICHI RD
NPI: 1942237797

MS. SHANNON L MARTIN (PA-C)

Physician Assistant
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
NPI: 1427080399

Caring Hands Healthcare Centers

Federally Qualified Health Center (FQHC)
PO BOX 1992
NPI: 1346324134