Gregory Scott Hackenbruch, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2045 Issued in AK

Practice address

2741 Debarr Road
Suite 307
Anchorage, AK 99508

Phone

(907) 646-2230

Fax

(907) 646-7949

NPI assigned

Dec 3, 2009

Sex

Male

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, TX2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Anchorage Sleep Center LLCGroup PAC ID 5890964746, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Anchorage Sleep Center, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Anchorage, AK
  • NPI 1609182849
  Medicare reassignment Care Compare group
• Maniilaq Association

  dba Maniilaq Health Center

  • Rural Acute Care Hospital
  • Kotzebue, AK
  • NPI 1861698805

  TX

  Medicare reassignment
• Anchorage Sleep Center, LLC Dba Fairbanks Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Fairbanks, AK
  • NPI 1578833265
  NPD
• Maniilaq Association

  dba Kobuk Clinic

  • Federal Public Health Clinic/Center
  • Kobuk, AK
  • NPI 1265709901
  NPD
• Maniilaq Association

  dba Maniilaq Health Center

  • Critical Access Hospital
  • Kotzebue, AK
  • NPI 1316995210
  NPD
• John D. Zipperer, Jr., M.D., LLC

  dba John D. Zipperer, Jr., MD

  • Interventional Pain Medicine Physician
  • Eagle River, AK
  • NPI 1528326626
  NPD (past)
• Lung and Sleep Clinic of Alaska Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Conshohocken, PA
  • NPI 1376530493
  NPD (past)

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1033447909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W TUDOR RD",
            "address_2": "STE 5",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036649",
            "telephone_number": "907-743-0050",
            "fax_number": "907-743-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 DEBARR ROAD",
            "address_2": "SUITE 307",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-646-2230",
            "fax_number": "907-646-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKENBRUCH",
        "first_name": "GREGORY",
        "middle_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-03",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "2045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Haas
• Rosemarie Habeich, RN
• Mackenzie A Haberman, MD
• Scott Habermann, OD
• Jordyn Hache, AAS
• Shantell Hacker
• Tammi L Hackley, PHARMD
• Toni Hackney
• Kyoko Hada
• Migel Kay Hadley, A.N.P.

• Medical Physician Assistant in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Medical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.