Jerry Paul Flynn Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

7109 Issued in AK

Practice address

417 1St Ave
Seward, AK 99664-0365

Phone

(907) 224-5205

Fax

(907) 224-7428

NPI assigned

Jul 11, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Dr. Jerald Paul Flynn Jr. Professional name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Washington School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City of SewardGroup PAC ID 2466362280, shared by 4 NPIs, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Seward Hospital Hospital, Seward, AK, CCN 021302
• Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Merit-based Incentive Payment System (MIPS)

Final score

93 of 100Reported as group

Quality

62.16

Promoting interoperability

100

Improvement activities

40

Cost

100

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• City of Seward

  • Skilled Nursing Facility
  • Seward, AK
  • NPI 1821102757

  W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• City of Seward

  • Critical Access Hospital
  • Seward, AK
  • NPI 1396858155
  Medicare reassignment NPD
• City of Seward

  • Critical Access Hospital
  • Seward, AK
  • NPI 1841372943

  Family Medicine

  Medicare reassignment NPD
• Lacuna Family Medicine, Inc.

  • Primary Care Clinic/Center
  • Seward, AK
  • NPI 1902352206
  Medicare reassignment NPD
• City of Seward

  • Home Health Agency
  • Seward, AK
  • NPI 1912011842
  NPD
• City of Seward

  • Skilled Nursing Facility
  • Seward, AK
  • NPI 1821102757
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• City of Seward

  • Critical Access Hospital
  • Seward, AK
  • NPI 1396858155
  Care Compare affiliation
• Providence Health & Services Washington

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1003070780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2816",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "996642816",
            "telephone_number": "907-491-0645",
            "fax_number": "888-723-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 1ST AVE",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "996640365",
            "telephone_number": "907-224-5205",
            "fax_number": "907-224-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "JERRY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-11",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": "LL17668",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "7109",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "52680",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96608226",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD9543",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jflynn88034@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "204 4th Avenue",
            "city": "Seward",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996642816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jflynn88034@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "417 1st Ave",
            "city": "Seward",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996640365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JERALD",
            "last_name": "FLYNN",
            "middle_name": "PAUL",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Pablo Echevarria
• Cecilia Eipert
• Israel Ekomaye
• Carolyn J Faucher, OTRL
• Erin Fitzpatrick
• Kellie Fonkert, LPN
• Tonya Foote
• Christine Forgione
• John Steven Foss
• Patricia W Friel, PTA

• Family Medicine Physician in Seward, AK
• Providers in Seward, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.