ASHLEY MICHELLE CHURCH PA-C
NPI 1033800420
Physician Assistant - Medical in Grass Valley, CA

NPI Status: Active since May 16, 2023

Contact Information

844 OLD TUNNEL RD
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 274-9762

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  • Individual
  • Female
  • Years of Experience 2
  • Physician Assistant
  • Medical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ASHLEY CHURCH

This page provides the complete NPI Profile along with additional information for Ashley Church, a primary care provider established in Grass Valley, California with a medical specialization in Physician Assistant, focusing in medical and more than 2 years of experience. She graduated from University Of Nevada School Of Medicine in 2024. The healthcare provider is registered in the NPI registry with number 1033800420 assigned on May 2023. The practitioner's primary taxonomy code is 363AM0700X with license number 65056 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1033800420
Provider Name
ASHLEY MICHELLE CHURCH PA-C
Gender
Female
Entity Type
Individual
Location Address
844 OLD TUNNEL RD GRASS VALLEY, CA 95945
Location Phone
(530) 274-9762
Mailing Address
11641 EDGEWOOD RD AUBURN, CA 95603
Mailing Phone
(530) 401-7216
Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduation Year
2024
Is Sole Proprietor?
No
Enumeration Date
05-16-2023
Last Update Date
09-17-2024
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A primary care provider (PCP) like Ashley Church sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
65056
License State
CA

Medicare Participation & PECOS Enrollment Status

Ashley Church is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Ashley Church is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3375078892

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20241120004634

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for ASHLEY MICHELLE CHURCH PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033800420
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063160044
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 6 + 0 + 0 + 4 + 4 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1033800420 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770719007 DARIN PETERS
Individual
Specialist/Technologist, Health Information844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
(530) 802-0490
1356712228 KIRSTEN GEORGE PA-C
Individual
Physician Assistant (Medical)844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
(530) 274-9762
1477900835WESTERN SIERRA HEALTH CLINIC
Organization
Clinic/Center (Urgent Care)844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
(530) 274-9762
1891029005 KELLY MINER-GANN
Individual
Counselor (Mental Health)844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
(530) 273-4984
1487904074MS. POLLY KAY CONLEY R.N., P.N.P
Individual
Nurse Practitioner (Pediatrics)844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
(530) 274-9762
1013571231 ANDREA GEKAS CNM, WHNP
Individual
Registered Nurse (Women's Health Care, Ambulatory)844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
(530) 273-4984
1376898544 MARISA JEAN SPEER PA-C
Individual
Physician Assistant844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
(530) 274-9762
1063496396WESTERN SIERRA MEDICAL CLINIC, INC.
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
(530) 273-4984
1831703552 DIANA PETROS FNP-C
Individual
Nurse Practitioner (Family)844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
(310) 650-8661
1770963977MRS. LINDSAY FREDRICKSON RN, CPNP
Individual
Nurse Practitioner (Pediatrics)844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
(530) 274-9762
1427793389 JESSICA LEE LUSIGNAN FNP-BC
Individual
Nurse Practitioner (Family)844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
(530) 274-9762
1558801399 MARCELLA PIERCE PA-C
Individual
Physician Assistant844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
(530) 274-9762
1720738966DR. DANIEL BRUSSER ARNP, PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
(530) 274-9762
1548997968 MOEMI GOSSAL
Individual
Nurse Practitioner (Adult Health)844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
(530) 274-9762
1063894756CLINIC PHARMACIES III LLC
Organization
Pharmacy (Community/Retail Pharmacy)844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
(530) 273-0182
1316554306 HAVILYN MICHELE HARRAR PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
(530) 274-9762
1699449587 JOSEPH ANTHONY LANGOWSKI
Individual
Nurse Practitioner (Family)844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
(530) 274-9762
1053447870 STACIE LA JEUNESSE CPNP
Individual
Nurse Practitioner (Pediatrics)844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
(530) 274-9762
1619200219MRS. KELLY DIANNE GALLAUGHER
Individual
Counselor (Mental Health)844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
(530) 274-9762
1386421709 MORGAN DEE NETTLES STEWART WHNP
Individual
Nurse Practitioner (Women's Health)844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
(530) 273-4984

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033800420, enumerated in the NPI registry as an "individual" on May 16, 2023

The provider is located at 844 Old Tunnel Rd Grass Valley, Ca 95945 and the phone number is (530) 274-9762

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider has more than 2 years of experience. She graduated from University Of Nevada School Of Medicine in 2024.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on May 16, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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