ASHLEY KAY BOMMERSBACH — NPI 1457947012 (Licensed & Credentialed Pharmacy Technician in RUGBY, ND)

CMS-1500 Box 24J / 33a • NPI

1457947012

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

183700000X

Licensed & Credentialed Pharmacy Technician

Box 32 Service Location & ZIP+4

107 2ND ST SE, RUGBY, ND, 58368-1801

✓ 9-Digit EDI 837 ZIP+4 (58368-1801)

Practice Phone & Referral Fax

(701) 776-5741

Fax: (877) 201-5320

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1457947012 (ASHLEY KAY BOMMERSBACH) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1457947012` (NPI-1 Individual Practitioner)
Provider / Legal Name	ASHLEY KAY BOMMERSBACH
Plain-English Specialty	Licensed & Credentialed Pharmacy Technician NUCC Code: `183700000X` (Pharmacy Technician)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	107 2ND ST SE, RUGBY, ND, 58368-1801
Practice Telephone / Fax	Tel: (701) 776-5741 \| Fax: (877) 201-5320
Administrative Mailing Address	107 2ND ST SE, RUGBY, ND, 58368-1801
Enumeration & Last Sync	Enumerated: 2020-12-17 \| CMS Record Updated: 2020-12-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

107 2ND ST SE, RUGBY, ND, 58368-1801

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Plain-English Taxonomy & CMS Crosswalk (183700000X)

What Does Taxonomy Code 183700000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 183700000X translates to:
"Licensed & Credentialed Pharmacy Technician"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacy Technician for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ASHLEY KAY BOMMERSBACH)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`183700000X` — Pharmacy Technician Plain English: Licensed & Credentialed Pharmacy Technician	State: ND \| License: `Tech1256` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ASHLEY KAY BOMMERSBACH (NPI #1457947012)