Bruce Wayne Hess, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

6508 Issued in AK

Practice address

3543 E Meridian Park Loop Ste a
Wasilla, AK 99654-7294

Phone

(907) 357-4543

Fax

(907) 357-4533

NPI assigned

Dec 6, 2005

Last updated

Jan 25, 2022By the provider in NPPES

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

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bhess86037@ak.providencedirect.org

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.

• Mat-Su Valley Medical Center LLC

  dba Mat-Su Regional Medical Center

  • General Acute Care Hospital
  • Palmer, AK
  • NPI 1417975061
  NPD (past)
• Ptarmigan Pediatrics LLC

  • Pediatrics Physician
  • Wasilla, AK
  • NPI 1053574293
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1093790628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3543 E MERIDIAN PARK LOOP STE A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547294",
            "telephone_number": "907-357-4543",
            "fax_number": "907-357-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3543 E MERIDIAN PARK LOOP STE A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547294",
            "telephone_number": "907-357-4543",
            "fax_number": "907-357-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESS",
        "first_name": "BRUCE",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AK",
            "license": "6508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tessa Ruth Herren
• Haleigh Diane Herrera
• Alesa Marie Herring, LMT
• Mahlet Herrmann
• Teryl Herter
• Ginger Deann Hess, APRN
• Elizabeth Hesse, NURSE PRACTITIONER
• Crystal Ann Hester
• Kayleen Hetrick, LPC
• Angela Heynen

• Pediatrics Physician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Pediatrics Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.