Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ashley E Fallucca, PA

Individual provider Physician Assistant · NPI 1245531979

Ashley E Fallucca, PA is a Physician Assistant in Overland Park, Kansas. Qualified in 2010, 16 years ago. Practices with Overland Park Surgical Specialties LLC, a 88-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
16
Licensed in
KS
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

10600 Mastin St
Overland Park, KS 66212-5723
Phone: (913) 469-0503
Fax: (913) 338-1311
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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 15-01429 (KS)

Record details

NPI number1245531979
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 11, 2010
Last updated in NPPESFebruary 1, 2022
Mailing addressPo Box 741331, Atlanta, GA 30374-1331

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Overland Park Surgical Specialties Llc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Overland Park