Individual provider Active NPI

Katherine Nevin Naylor, MD

  • Hospitalist Physician
  • Palmer, AK
National Provider Identifier
1013938729
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD00046477 Issued in WA
Practice address
2500 S Woodworth Loop
Palmer, AK 99645-8984
Phone
(907) 861-6000
Fax
(907) 861-6559
NPI assigned
Jul 21, 2006
Last updated
Aug 28, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD00046477 WA Primary

Addresses

Primary practice location

2500 S Woodworth Loop
Palmer, AK 99645-8984

Mailing address

2500 S Woodworth Loop
Palmer, AK 99645-8984
Phone (907) 861-6000

Other identifiers 5

IdentifierTypeStateIssuer
US7912802OtherWAAETNA
P00333800OtherWARAILROAD MEDICARE
0039581OtherWAL&I
2493NAOtherWABLUE SHIELD
8465791MedicaidWA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071116000390 AK Practitioner - Internal Medicine 6305840356 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tulane University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Cottonwood Creek Clinic LLCGroup PAC ID 7810212784, 4 clinicians

Practice addresses (Care Compare)

1700 E Bogard Rd
Wasilla, AK 99654-6570
Phone (907) 921-5088

3600 E Wickersham Way
Wasilla, AK 99654-7550
Phone (907) 373-5950

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00046477WAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cottonwood Creek Clinic LLC CurrentSince Jan 1, 2017 Accepting new patients
Mat-Su Valley Medical Center LLC Hospitalist CurrentSince Sep 1, 2007 Accepting new patients
Mat Su Valley Medical Center LLC CurrentSince Sep 1, 2007 Accepting new patients
Mat Su Valley Medical Center LLC Past Accepting new patients

Locations

2500 S Woodworth Loop
Palmer, AK 99645
Phone (907) 861-6000

3600 E Wickersham Way
Wasilla, AK 99654
Phone (907) 373-5950

950 E Bogard Rd
Wasilla, AK 99654
Phone (907) 352-2880

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1013938729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S WOODWORTH LOOP",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458984",
            "telephone_number": "907-861-6000",
            "fax_number": "907-861-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S WOODWORTH LOOP",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458984",
            "telephone_number": "907-861-6000",
            "fax_number": "907-861-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYLOR",
        "first_name": "KATHERINE",
        "middle_name": "NEVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD00046477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "US7912802",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00333800",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0039581",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "2493NA",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8465791",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

Verify at the official NPI Registry.