NPIMap

Individual provider Active NPI

Mary Perez, PA-C

  • Medical Physician Assistant
  • Anchorage, AK
National Provider Identifier
1033617303
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
201273 Issued in AK
Practice address
3801 Lake Otis Pkwy Ste 300
Anchorage, AK 99508-5234
Phone
(907) 562-2277
Fax
(907) 563-3460
NPI assigned
Jan 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 201273 AK Primary
Athletic Trainer 2255A2300X 103320 AK
Physician Assistant 363A00000X 201273 AK

Addresses

Primary practice location

3801 Lake Otis Pkwy Ste 300
Anchorage, AK 99508-5234

Mailing address

3801 Lake Otis Pkwy Ste 300
Anchorage, AK 99508-5234
Phone (907) 562-2277

Other practice location 1

12350 Industry Way Ste 160
Anchorage, AK 99515-4300
Phone (907) 345-4343

Other practice location 2

17101 Snowmobile Ln Ste 102
Eagle River, AK 99577-7043
Phone (907) 694-7223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230131000584 AK Practitioner - Physician Assistant 8426429408 Reassigns benefits to 1 organization
I20260127004653 TX Practitioner - Physician Assistant 8426429408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthoalaska LLCGroup PAC ID 2961705520, 167 clinicians

Practice addresses (Care Compare)

12350 Industry Way
Suite 160
Anchorage, AK 99515-4300
Phone (907) 345-4343

17101 Snowmobile LN
Suite 102
Eagle River, AK 99577-7043
Phone (907) 694-7223

3801 Lake Otis Pkwy
Anchorage, AK 99508-5234

3801 University Lake Dr
Anchorage, AK 99508-4658
Phone (907) 563-2662

4100 Lake Otis Pkwy
Anchorage, AK 99508-5230
Phone (907) 563-4006

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.68 of 100Reported as group
Quality
52.97
Promoting interoperability
88
Improvement activities
40
Cost
73.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
103320AKMDAthletic Trainer
201273AKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoalaska LLC CurrentSince Dec 1, 2022 Accepting new patients
Orthoalaska, LLC Physician Assistant CurrentSince Dec 1, 2022 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jan 20, 2026 Accepting new patients
Orthoalaska, LLC Past Accepting new patients
Orthoalaska LLC PastSince Jan 21, 2024 Accepting new patients

Locations

3801 University Lake Dr
Anchorage, AK 99508
Phone (907) 563-8876

12350 Industry Way
Ste 160
Anchorage, AK 99515
Phone (907) 345-4343

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

3801 Lake Otis Pkwy
Ste 300
Anchorage, AK 99508
Phone (907) 341-5238

17101 Snowmobile Ln
Ste 102
Eagle River, AK 99577
Phone (907) 694-7223

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mary.perez.p1@direct.opaak.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1033617303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 LAKE OTIS PKWY STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085234",
            "telephone_number": "907-562-2277",
            "fax_number": "907-563-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 LAKE OTIS PKWY STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085234",
            "telephone_number": "907-562-2277",
            "fax_number": "907-563-3460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12350 Industry Way Ste 160",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995154300",
            "country_code": "US",
            "telephone_number": "907-345-4343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17101 Snowmobile Ln Ste 102",
            "address_purpose": "LOCATION",
            "city": "Eagle River",
            "state": "AK",
            "postal_code": "995777043",
            "country_code": "US",
            "telephone_number": "907-694-7223",
            "fax_number": "907-646-2597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "201273",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AK",
            "license": "103320",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "201273",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.