NPIMap

Individual provider Active NPI

Kattrina Michelle Rall, M.D.

  • Family Medicine Physician
  • Soldotna, AK
National Provider Identifier
1023541000
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61072063 Issued in WA
Practice address
35743 Kenai Spur Hwy Ste a
Soldotna, AK 99669-7161
Phone
(907) 260-4468
Fax
(907) 260-4467
NPI assigned
Apr 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD61072063 WA Primary

Addresses

Primary practice location

35743 Kenai Spur Hwy Ste a
Soldotna, AK 99669-7161

Mailing address

35743 Kenai Spur Hwy Ste a
Soldotna, AK 99669-7161
Phone (907) 260-4468

Other names 1

  • Kattrina Michelle Crouch Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kattrina.rall.1@17172.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210924000625 AK Practitioner - Family Practice 2769898162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstream Family Medicine IncGroup PAC ID 7911128434, 4 clinicians

Practice addresses (Care Compare)

35743 Kenai Spur Hwy
Suite a
Soldotna, AK 99669-7161
Phone (907) 260-4468

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upstream Family Medicine Inc Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Central Peninsula General Hospital Inc. Past Accepting new patients

Locations

35743 Kenai Spur Hwy
Ste A
Soldotna, AK 99669
Phone (907) 260-4468

250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17172/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kattrina.rall.1@17172.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1023541000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35743 KENAI SPUR HWY STE A",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697161",
            "telephone_number": "907-260-4468",
            "fax_number": "907-260-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35743 KENAI SPUR HWY STE A",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697161",
            "telephone_number": "907-260-4468",
            "fax_number": "907-260-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALL",
        "first_name": "KATTRINA",
        "middle_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61072063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kattrina.rall.1@17172.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "address_1": "35743 Kenai Spur Hwy Ste A",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996697161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATTRINA",
            "last_name": "CROUCH",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Soldotna, AK

Sources for this page

Verify at the official NPI Registry.