Individual provider Active NPI

Gregory Neal Cagle, CRNP

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1073500302
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-088261 Issued in AL
Practice address
2421 E Tudor Rd Ste 108
Anchorage, AK 99507-1166
Phone
(877) 522-1275
Fax
(833) 888-7145
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-088261 AL Primary

Addresses

Primary practice location

2421 E Tudor Rd Ste 108
Anchorage, AK 99507-1166

Mailing address

500 SW 7TH St Ste A205
Renton, WA 98057-2983
Phone (877) 522-1275

Other practice location 1

1602 Church St SE
Decatur, AL 35601-3402
Phone (256) 350-1458 ext. 248

Other identifiers 2

IdentifierTypeStateIssuer
51533420OtherALBCBS
891011270MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gcagle1259189@ak.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AK, WA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190821003759 TN Practitioner - Nurse Practitioner 5395775837 Reassigns benefits to 1 organization
I20200617003265 AK Practitioner - Nurse Practitioner 5395775837 Reassigns benefits to 2 organizations
I20220421000973 WA Practitioner - Nurse Practitioner 5395775837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ideal Telemedicine Services LLCGroup PAC ID 2860726221, 47 clinicians
Ideal Option PLLCGroup PAC ID 6709013105, 90 clinicians
Spero Health of Tennessee, LLCGroup PAC ID 0941683593, 21 clinicians

Practice addresses (Care Compare)

2421 E Tudor Rd
Suite 108
Anchorage, AK 99507-1166
Phone (877) 522-1275

8508 W Gage Blvd
Suite A101
Kennewick, WA 99336-8106
Phone 50957093022123

920 S Willow Ave
Cookeville, TN 38501-4150
Phone (931) 303-0889

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-088261ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Option, PLLC Current Accepting new patients
Spero Health of Tennessee, LLC CurrentSince Dec 12, 2023 Accepting new patients
Ideal Option, PLLC Current Accepting new patients
Ideal Option, PLLC CurrentSince Oct 1, 2021 Accepting new patients
Ideal Telemedicine Services, LLC CurrentSince Oct 1, 2021 Accepting new patients
Ideal Telemedicine Services, LLC Past Accepting new patients

Locations (25 of 38)

2421 E Tudor Rd
Ste 108
Anchorage, AK 99507
Phone (907) 317-1703

1221 Noble St
Ste 101
Fairbanks, AK 99701
Phone (907) 456-4234

416 Frontage Rd
#200
Kenai, AK 99611
Phone (907) 283-6030

3035 E Palmer Wasilla Hwy
Ste 301
Wasilla, AK 99654
Phone (907) 352-2459

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

920 S Willow Ave
Cookeville, TN 38501
Phone (931) 525-6059

501 Adesa Blvd
Ste 300
Lenoir City, TN 37771
Phone (865) 987-8692

301 Wolverine Trl
Ste 200
Smyrna, TN 37167
Phone (615) 459-5228

16410 Smokey Point Blvd
Ste 101
Arlington, WA 98223
Phone (360) 653-8711

1811 Howard Rd
Ste 101
Auburn, WA 98002

1215 120th Ave NE
Ste 201
Bellevue, WA 98005
Phone (425) 248-4200

3800 Byron Ave
Ste 116
Bellingham, WA 98229
Phone (509) 416-0253

3800 Byron Ave
Ste 122
Bellingham, WA 98229

667 Grant Rd
Ste 3
East Wenatchee, WA 98802
Phone (509) 860-6530

7315 212th St SW
Ste 201
Edmonds, WA 98026
Phone (425) 778-8116

4301 Hoyt Ave
Everett, WA 98203
Phone (425) 317-8025

8508 W Gage Blvd
Ste A101
Kennewick, WA 99336
Phone 8775221275 ext. 3049

1146 14th Ave
Longview, WA 98632

1617 Grove St
Marysville, WA 98270
Phone (360) 356-6533

101 E Main St
Ste 201
Monroe, WA 98272
Phone (360) 863-0642

1520 Parker Way
Mount Vernon, WA 98273

1800 Cooper Point Rd SW
Ste 4
Olympia, WA 98502
Phone 87752212783049

5615 Dunbarton Ave
Pasco, WA 99301
Phone 50922212752123

745 N Grand Ave
Apt 107
Pullman, WA 99163

8116 112th Street Ct E
Ste A
Puyallup, WA 98373
Phone (253) 848-5033

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/sperohealth/r4/
  • Direct secure messaging: gcagle1259189@ak.providencedirect.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1073500302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SW 7TH ST STE A205",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572983",
            "telephone_number": "877-522-1275",
            "fax_number": "509-491-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 E TUDOR RD STE 108",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071166",
            "telephone_number": "877-522-1275",
            "fax_number": "833-888-7145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 Church St SE",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356013402",
            "country_code": "US",
            "telephone_number": "256-350-1458 x248",
            "fax_number": "256-350-1485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAGLE",
        "first_name": "GREGORY",
        "middle_name": "NEAL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-088261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51533420",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891011270",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gcagle1259189@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "717 E Rezanof Dr",
            "city": "Kodiak",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996156416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.