Amanda Loomis, PA-C – Medical Physician Assistant

Key facts

NPI: 1003210030
Entity type: Individual (NPI type 1)
Primary specialty: Medical Physician Assistant 363AM0700X
License: 1187 (AK)
Practice address: 550 W 7TH Ave Ste 1800
Anchorage, AK 99501-3569
Phone: (907) 269-7300
NPI assigned: Oct 20, 2014
Sex: Female
Sole proprietor: No

Organizations & group practices 3

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 Valdez Critical Access Hospital Clinic/Center · Valdez, AK · NPI 1427424282

Medicare reassignment NPD AK
City of Valdez Critical Access Hospital · Valdez, AK · NPI 1750485488

Medicare reassignment NPD AK
State of Alaska Dept. of Corrections Pharmacy Pharmacy · Anchorage, AK · NPI 1073279840

NPD (past)

Hospital & facility affiliations 1

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

City of Valdez Critical Access Hospital · Valdez, AK · NPI 1750485488

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Other, 2014
Medicare assignment: May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 550
Valdez, AK 99686

Hospital & facility affiliations

Providence Valdez Medical Center Hospital · Valdez, AK · CCN 021301

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AK
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20260305000021	AK	Practitioner - Physician Assistant	4284116609	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
1187	AK	MD	Clinical Social Worker

Practice roles

Organization	Status	New patients
City of Valdez	Current since Feb 19, 2026	Accepting new patients
City of Valdez	Current since Feb 19, 2026	Accepting new patients
State of Alaska Dept. of Corrections Pharmacy	Past since Nov 21, 2021	Accepting new patients

Locations

911 Meals Ave
Valdez, AK 99686
Phone (907) 835-2249

1001 Meals Ave
Valdez, AK 99686
Phone (907) 835-4612

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Medical Physician Assistant	363AM0700X	1187	AK	Yes

Addresses

Primary practice location

550 W 7TH Ave Ste 1800
Anchorage, AK 99501-3569

Mailing address

550 W 7TH Ave Ste 1800
Anchorage, AK 99501-3569
Phone (907) 269-7300

Other practice location 1

1867 Airport Way
Suite 130B
Fairbanks, AK 99701-4054
Phone (907) 452-2178

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 3, 2019.

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1003210030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W 7TH AVE STE 1800",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013569",
            "telephone_number": "907-269-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W 7TH AVE STE 1800",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013569",
            "telephone_number": "907-269-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1867 Airport Way",
            "address_2": "Suite 130B",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997014054",
            "country_code": "US",
            "telephone_number": "907-452-2178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "AMANDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "1187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

All providers in Anchorage, AK · Medical Physician Assistant in Alaska

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.