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

Ashley Sivanich, PA

Individual provider Physician Assistant · NPI 1427561802

Ashley Sivanich, PA is a Physician Assistant in Waconia, Minnesota. Qualified in 2017, 9 years ago. Practices with Lakeview Clinic, Ltd, a 53-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2017
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

424 W State Highway 5
Waconia, MN 55387-1723
Phone: (952) 442-4461
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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 12477 (MN)

Record details

NPI number1427561802
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedNovember 8, 2017
Last updated in NPPESNovember 8, 2017
Mailing address8598 Ambergate Dr, Victoria, MN 55386-2703

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Lakeview Clinic, Ltd. — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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