Individual provider Active NPI

Alison Starr, PA-C

  • Physician Assistant
  • Kodiak, AK
National Provider Identifier
1063930709
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
137079 Issued in AK
Practice address
3449 E Rezanof Dr
Kodiak, AK 99615
Phone
(907) 486-9800
NPI assigned
Sep 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X AMD-1395 HI
Physician Assistant 363A00000X 137079 AK Primary
Physician Assistant 363A00000X 15-02030 KS

Addresses

Primary practice location

3449 E Rezanof Dr
Kodiak, AK 99615

Mailing address

11210 Bells Flats Rd
Kodiak, AK 99615-9409
Phone (785) 212-0852

Other practice location 1

333 N 14th St
Wakeeney, KS 67672-3000
Phone (785) 212-0852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190320000844 TX Practitioner - Physician Assistant 2365708773 Reassigns benefits to 1 organization
I20240920001142 HI Practitioner - Physician Assistant 2365708773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
76.58 of 100Reported as group
Quality
74.05
Improvement activities
40
Cost
56.66

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kau Hospital CurrentSince Sep 10, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Apr 1, 2024 Accepting new patients
Kau Hospital CurrentSince Sep 10, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Apr 1, 2024 Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

1285 Waianuenue Ave
Fl 2
Hilo, HI 96720
Phone (808) 932-3940

16-523 Keaau Pahoa Rd
Keaau, HI 96749
Phone (808) 932-3801

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.

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1063930709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11210 BELLS FLATS RD",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996159409",
            "telephone_number": "785-212-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 E REZANOF DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "99615",
            "telephone_number": "907-486-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 N 14th St",
            "address_purpose": "LOCATION",
            "city": "Wakeeney",
            "state": "KS",
            "postal_code": "676723000",
            "country_code": "US",
            "telephone_number": "785-212-0852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARR",
        "first_name": "ALISON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD-1395",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "137079",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kodiak, AK

Sources for this page

Verify at the official NPI Registry.