Individual provider Active NPI

Jimin H Hwang, NP

  • Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1053088617
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
179883 Issued in AK
Practice address
2741 Debarr Rd Ste C308
Anchorage, AK 99508-2972
Phone
(907) 947-0673
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 179883 AK Primary

Addresses

Primary practice location

2741 Debarr Rd Ste C308
Anchorage, AK 99508-2972

Mailing address

2741 Debarr Rd Ste C308
Anchorage, AK 99508-2972

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211117001141 AK Practitioner - Nurse Practitioner 2365831161 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peak Neurology and Sleep Medicine, LLCGroup PAC ID 6901024017, 9 clinicians

Practice addresses (Care Compare)

2741 Debarr Rd
Anchorage, AK 99508-2972
Phone 90733136407575

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as apm
Quality
71.03
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Peninsula Hospital, Inc CurrentSince Jun 28, 2023 Accepting new patients
South Peninsula Hospital, Inc CurrentSince Jun 28, 2023 Accepting new patients
South Peninsula Hospital, Inc. CurrentSince Aug 14, 2023 Accepting new patients
Alaska Urgent Care, LLC CurrentSince Oct 1, 2021 Accepting new patients
Peak Neurology and Sleep Medicine, LLC CurrentSince Jan 17, 2022 Accepting new patients

Locations

2741 Debarr Rd
Ste C308
Anchorage, AK 99508
Phone (907) 272-3366

2741 Debarr Rd
Ste 308
Anchorage, AK 99508
Phone (907) 331-3640

300 E Dimond Blvd
Ste 12
Anchorage, AK 99515
Phone (907) 341-7722

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

4136 Bartlett St
Homer, AK 99603
Phone (907) 235-6127

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/sphosp-0c203fcf
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: jimin.hwang.1@10055.direct.athenahealth.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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1053088617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C308",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C308",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082972",
            "telephone_number": "907-947-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "JIMIN",
        "middle_name": "H",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "179883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.