Active NPI
Susan Hartmann, PA-C
- Surgical Physician Assistant
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 199396
- Practice address
- 301 W Northern Lights Blvd Ste 400
Anchorage, AK 99503-2648 - Phone
- (907) 563-4810
- Fax
- (907) 563-4811
- NPI assigned
- Jun 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 199396 | AK | Primary |
Addresses
Primary practice location
301 W Northern Lights Blvd Ste 400
Anchorage, AK 99503-2648
Mailing address
301 W Northern Lights Blvd Ste 400
Anchorage, AK 99503-2648
Phone (907) 563-4810
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230228000995 | AK | Practitioner - Physician Assistant | 2062885759 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Select Physical Therapy Holdings IncCoastal Neurology and Neurosurgery Inc
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
3719 E Meridian Loop
Suite E
Wasilla, AK 99654-7273
Phone (907) 563-4810
Hospital & facility affiliations
- Alaska Regional Hospital
- Providence Alaska Medical Center
- Providence Kodiak Island Medical Ctr
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.59 of 100
- Quality
- 83.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 16.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
-
- Neurological Surgery Physician
- Anchorage, AK
- NPI 1689927626
AK
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1104555408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W NORTHERN LIGHTS BLVD STE 400",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995032648",
"telephone_number": "907-563-4810",
"fax_number": "907-563-4811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W NORTHERN LIGHTS BLVD STE 400",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995032648",
"telephone_number": "907-563-4810",
"fax_number": "907-563-4811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMANN",
"first_name": "SUSAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-10",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AK",
"license": "199396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.