Active NPIIndividual provider

Ashley R Desameau, PA-C

Physician Assistant in Longmeadow, Massachusetts

NPI Number1114768207
Practice location
588 Longmeadow St, Longmeadow, MA 01106-2212
Fax
—
Last updated
July 31, 2026

Ashley Ruth Shelsie Desameau is a Physician Assistant based in Longmeadow, MA. Ashley Ruth Shelsie Desameau practices in Longmeadow, MA and has the professional credentials of PA-C. The NPI Number for Ashley Ruth Shelsie Desameau is 1114768207 and holds a License No. PA102859 (MA). The current practice location address for Ashley Ruth Shelsie Desameau is 588 Longmeadow St, Longmeadow, MA 01106-2212 and can be reached out via phone at 413-565-1000.

Provider Profile Details

NPI Number
1114768207
Provider Name
Ashley Ruth Shelsie Desameau
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
588 Longmeadow St, Longmeadow, MA 01106-2212
Phone Number
413-565-1000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 4, 2024
Last Update Date
July 31, 2026
Certification Date
July 31, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
588 Longmeadow St
Longmeadow, MA 01106-2212
Zip
01106-2212
Phone Number
413-565-1000
Longmeadow, MA 01106Get directions →

Provider Business Mailing Address Details

Address
960 Massachusetts Avenue
Fl 2
Boston, MA 02118
City
Boston
State
MA
Zip
02118

License Information

License Number
PA102859
License State
MA
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ashley R Desameau, PA-C?

The NPI number of Ashley R Desameau, PA-C is 1114768207. It was assigned on June 4, 2024 and is currently active in the NPPES registry.

What is the specialty of Ashley R Desameau, PA-C?

Ashley R Desameau, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA102859.

Where does Ashley R Desameau, PA-C practice?

The practice location is 588 Longmeadow St, Longmeadow, MA 01106-2212. The office can be reached at 413-565-1000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114768207 directly on the NPPES registry website.

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