Nathan Fitzgerald, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

123843 Issued in AK

Practice address

22301 W Alsop Rd
Wasilla, AK 99623-5023

Phone

(907) 864-8284

NPI assigned

Sep 6, 2017

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

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Alaska Urology, LLC

  • Urology Physician
  • Anchorage, AK
  • NPI 1073549507
  Medicare reassignment
• Orthoalaska LLC

  • Rheumatology Physician
  • Anchorage, AK
  • NPI 1265293252
  NPD (past)
• Orthoalaska, LLC

  • Durable Medical Equipment & Medical Supplies
  • Wasilla, AK
  • NPI 1043698491
  NPD (past)

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1043738461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22301 W ALSOP RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996235023",
            "telephone_number": "907-864-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22301 W ALSOP RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996235023",
            "telephone_number": "907-864-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "NATHAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-06",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "123843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1677181",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Choice OBGYN LLC
• First Choice Physical Therapy, Inc.
• Jeremiah Riley Firth-Butler
• Talea Fiscus
• Rebecca Fisher, DPT
• Corbin Flaming, PT, DPT
• Laura Fleming
• Flex Home Therapy Services, LLC
• Flexible Counseling Solutions LLC
• Brandon Flinn

• Medical Physician Assistant in Wasilla, AK
• Providers in Wasilla, 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 Jul 28, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.