Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ashley Black, PA-C

Individual provider Physician Assistant · NPI 1710668595

Ashley Black, PA-C is a Physician Assistant in Grand Forks, North Dakota. Qualified in 2023, 3 years ago. Practices with Altru Health System, a 667-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Dakota.

Years since qualifying
3
Licensed in
ND
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4440 S Washington St
Grand Forks, ND 58201
Phone: (701) 732-7600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAC1017 (ND)

Record details

NPI number1710668595
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 26, 2023
Last updated in NPPESJuly 26, 2023
Certification dateJuly 26, 2023
Mailing address2401 Demers Ave, Grand Forks, ND 58201

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Altru Health System — 667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Grand Forks