Look up the most recent NPI and PECOS records

Ashley Shafawnne Crawford

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

2801 W Kinnickinnic River Pkwy Ste 330, Milwaukee, WI 53215-3669

PECOS Enrollment

This provider is enrolled in PECOS as ASHLEY CRAWFORD.

Based on the most recent information from CMS, provider Ashley Shafawnne Crawford is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:26 AM.

Profile Details

Provider ID
1487398558
Provider Type
Individual
Full Name
Crawford, Ashley Shafawnne
Gender
Female

Sole Proprietor
No
Enumeration Date
4/25/2022
Last Updated
4/8/2025

Contact Information

Practice Location

2801 W Kinnickinnic River Pkwy Ste 330, Milwaukee, WI 53215-3669

(414) 649-1280

Unlisted Fax

Mailing Location

PO Box 735044, Chicago, IL 60673-5044

(800) 326-2250

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5819-23 Wisconsin

Provider Identifiers

ID	Description	Issuer
ID 100205590	Description Medicaid	Issuer Unlisted Wisconsin

Ashley Shafawnne Crawford

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Mccandless, Cassidy Sarah

Giovetti, Lynn

Scaletta, Giuseppa

Glodowski, Kelly M

Rozanski, Elise L

Giebel, M Christine

Rongstad, Lindsey

Williams, Hannah Elizabeth

Zimmerman, Cody R

Pflum, Lauren Elizabeth