Alysa Sonnentag, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

198025 Issued in AK

Practice address

211 E Fairview Loop
Wasilla, AK 99654-0568

Phone

(907) 373-3335

NPI assigned

Sep 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moose Creek Medical Clinic LLCGroup PAC ID 0143554188, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ancora Home Health & Hospice Home health agency, Wasilla, AK, CCN 027008
• Mat-Su Regional Medical Center Hospital, Palmer, AK, CCN 020006

Merit-based Incentive Payment System (MIPS)

Final score

49.2 of 100Reported as group

Quality

0

Improvement activities

40

Cost

61.47

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Moose Creek Medical Clinic LLC

  • Adult Health Nurse Practitioner
  • Wasilla, AK
  • NPI 1053883595

  Family

  Medicare reassignment Care Compare group NPD

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

• Ancora Home Health & Hospice, LLC

  • Home Health Agency
  • Wasilla, AK
  • NPI 1801380043
  Care Compare affiliation
• Mat-Su Valley Medical Center LLC

  dba Mat-Su Regional Medical Center

  • General Acute Care Hospital
  • Palmer, AK
  • NPI 1417975061
  Care Compare affiliation

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1003537325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 877116",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996877116",
            "telephone_number": "307-371-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E FAIRVIEW LOOP",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996540568",
            "telephone_number": "907-373-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNENTAG",
        "first_name": "ALYSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "198025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl Robert Soderstrom
• Kurt Soeder, MS, PHARM.D.
• Ksenia Yuryevna Sokolova, PA-C
• Ashley Nicole Solle
• Marsha Sommerville
• Jacqueline Sorto, PHARMD
• Christy Dawn South, MD
• Southcentral Foundation (BH 1115- Benteh Nuutah Primary Care Center)
• Southcentral Foundation
• Southcentral Foundation (SUD 1115- Benteh Nuutah Four Directions)

• Family Nurse Practitioner in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Family Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.