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

Ashley Lauren Bruce, PA

Individual provider Physician Assistant · NPI 1083234991

Ashley Lauren Bruce, PA is a Physician Assistant in St Louis Park, Minnesota. Qualified in 2020, 6 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2020
Specialties on file
2
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

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone: (952) 993-3282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 9855 Hospital Dr, Maple Grove, MN 55369-4648 — (952) 993-3282
  • 14160 Junkite St Nw, Ramsey, MN 55303-4642 — (763) 498-1177
  • 295 Phalen Blvd, Saint Paul, MN 55130-2400 — (651) 495-6600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13638 (MN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1083234991
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 21, 2020
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in St Louis Park