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

Ashley Thompson

Individual provider Physician Assistant · NPI 1417789900

Ashley Thompson is a Physician Assistant in Minneapolis, Minnesota. Qualified in 2024, 2 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

2820 Inglewood Ave S
Minneapolis, MN 55416-4112
Phone: (914) 589-5503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 — (952) 993-3123

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1417789900
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 14, 2024
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025
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 specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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