Individual provider Active NPI

Caitlin Justine Koelling, DPM

  • Foot & Ankle Surgery Podiatrist
  • Anchorage, AK
National Provider Identifier
1063917177
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
173700 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
Mar 29, 2018
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 173700 AK Primary

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

3190 E Meridian Park Loop Ste 205
Wasilla, AK 99654-7422
Phone (907) 569-3668

Other practice location 2

3125 E Meridian Park Loop Ste 300
Wasilla, AK 99654-7528
Phone (907) 569-3668

Other practice location 3

2250 E 42nd Ave # 200
Anchorage, AK 99508-5202
Phone (907) 569-3668

Other names 1

  • Caitlin Justine Parrent Former name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210715003432 AK Practitioner - Podiatry 4880941210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Arizona Podiatric Med Program at Midwestern Un, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Orthoalaska LLCGroup PAC ID 2961705520, 167 clinicians

Practice addresses (Care Compare)

10928 Eagle River Rd
Suite 150
Eagle River, AK 99577-8078
Phone (907) 694-8085

1700 E Bogard Rd
Suite B203
Wasilla, AK 99654-6570
Phone (907) 921-5088

3125 E Meridian Park Loop
Suite 300
Wasilla, AK 99654-7528
Phone (907) 357-2267

3190 E Meridian Park Loop
Suite 205
Wasilla, AK 99654-7422
Phone (907) 373-3338

3801 Lake Otis Pkwy
Anchorage, AK 99508-5234

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

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue133
Removal of skin lesions1-10
Removal of nail tissue72
Removal or shaving of skin growth25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Matt a. Heilala, DPM Inc. Foot & Ankle Surgery CurrentSince Jul 8, 2021 Accepting new patients
Orthoalaska, LLC Foot & Ankle Surgery CurrentSince Sep 16, 2024 Accepting new patients
Orthoalaska LLC CurrentSince Sep 16, 2024 Accepting new patients
Matt a. Heilala, DPM Inc. Foot & Ankle Surgery CurrentSince Jul 8, 2021 Accepting new patients
Orthoalaska, LLC Past Accepting new patients
Orthoalaska LLC PastSince Jan 21, 2024 Accepting new patients

Locations

2250 E 42nd Ave
#200
Anchorage, AK 99508
Phone (907) 569-3668

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

3125 E Meridian Park Loop
Ste 150
Wasilla, AK 99654
Phone (907) 864-5025

3125 E Meridian Park Loop
Ste 300
Wasilla, AK 99654
Phone (907) 357-2267

3190 E Meridian Park Loop
Ste 205
Wasilla, AK 99654
Phone (907) 373-3338

Interoperability endpoints

  • Direct secure messaging: caitlyn.koelling.p1@direct.opaak.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/21331/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1063917177",
    "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": "3190 E Meridian Park Loop Ste 205",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547422",
            "country_code": "US",
            "telephone_number": "907-569-3668",
            "fax_number": "907-569-3669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3125 E Meridian Park Loop Ste 300",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547528",
            "country_code": "US",
            "telephone_number": "907-569-3668",
            "fax_number": "907-569-3669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 E 42nd Ave # 200",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085202",
            "country_code": "US",
            "telephone_number": "907-569-3668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOELLING",
        "first_name": "CAITLIN",
        "middle_name": "JUSTINE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AK",
            "license": "173700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "PARRENT",
            "middle_name": "JUSTINE",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.