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

Ashley Ray Forstrom

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639732837

Ashley Ray Forstrom is a Family Practice in Wayzata, Minnesota. Graduated from University of Minnesota Medical School in 2019, 7 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
7
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

250 Central Ave N Ste 228
Wayzata, MN 55391-1208
Phone: (952) 993-8250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 580 Rice St, Saint Paul, MN 55103-2148 — (651) 227-6551

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 67838 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639732837
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 15, 2019
Last updated in NPPESAugust 19, 2022
Certification dateAugust 19, 2022
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2019 (7 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Wayzata