NPIMap

Individual provider Active NPI

Stefana Iacob-Townsend, PA-C

  • Physician Assistant
  • Anchorage, AK
National Provider Identifier
1033837166
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
216673 Issued in AK
Practice address
1200 Airport Heights Dr Ste 210
Anchorage, AK 99508-2969
Phone
(907) 562-6001
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 216673 AK Primary

Addresses

Primary practice location

1200 Airport Heights Dr Ste 210
Anchorage, AK 99508-2969

Mailing address

200 W 34TH Ave
Anchorage, AK 99503-3969

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
I20240524002496 AK Practitioner - Physician Assistant 5092155101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Urology LLCGroup PAC ID 2567351513, 20 clinicians

Practice addresses (Care Compare)

3841 Piper St
T300
Anchorage, AK 99508-4685
Phone (907) 563-3103

4201 Bartlett St
Suite 201
Homer, AK 99603-7015
Phone (907) 235-0310

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Urology, LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

4201 Bartlett St
Ste 201
Homer, AK 99603
Phone (907) 235-0310

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

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1110

Organizations & group practices 1

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1033837166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 34TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DR STE 210",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082969",
            "telephone_number": "907-562-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACOB-TOWNSEND",
        "first_name": "STEFANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "216673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.