Active NPI
Sara Athea Stetson, ANP
- Family Nurse Practitioner
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1514
- Practice address
- 11260 Old Seward Hwy Ste 107
Anchorage, AK 99515-3098 - Phone
- (907) 433-5100
- NPI assigned
- Nov 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1514 | AK | Primary |
Addresses
Primary practice location
11260 Old Seward Hwy Ste 107
Anchorage, AK 99515-3098
Mailing address
9500 Independence Dr
Ste 100
Anchorage, AK 99507-4686
Phone (907) 339-7272
Other names 1
- Miss Sara Athea Chism
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sstetson1209129@ak.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
10928 Eagle River Rd
Eagle River, AK 99577-8078
Phone (907) 694-8085
9500 Independence Dr
Suite 100
Anchorage, AK 99507-4686
Phone (907) 339-7272
Hospital & facility affiliations
- Enhabit Health Home Health
- Providence Alaska Medical Center
- Alaska Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1514 | AK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| Forget Me Not Healthcare Clinic LLC | Family | Current | Accepting new patients |
| Providence Health & Services Washington | Past | Accepting new patients | |
| Eastern Aleutian Tribes, Inc | Past | Accepting new patients |
Locations
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
4001 Lake Otis Pkwy
Ste 100
Anchorage, AK 99508
Phone (907) 280-9585
9500 Independence Dr
Ste 100
Anchorage, AK 99507
Phone (907) 339-7272
Interoperability endpoints
- https://api.platform.athenahealth.com/21937/brand/1/csg/1/fhir/r4
- sara.stetson.1@21937.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Family Nurse Practitioner
- Anchorage, AK
- NPI 1063020543
-
- Community Health Clinic/Center
- King Cove, AK
- NPI 1649332446
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1467547265
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Anchorage, AK
- NPI 1801488507
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1952348047
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601596800000",
"number": "1124491501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 INDEPENDENCE DR",
"address_2": "STE 100",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995074686",
"telephone_number": "907-339-7272",
"fax_number": "907-339-7273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11260 OLD SEWARD HWY STE 107",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995153098",
"telephone_number": "907-433-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STETSON",
"first_name": "SARA",
"middle_name": "ATHEA",
"name_prefix": "Mrs.",
"credential": "ANP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-05",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "1514",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sstetson1209129@ak.providencedirect.org",
"affiliation": "N",
"address_1": "1389 Huffman Park Dr Ste 110",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "995153534",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SARA",
"last_name": "CHISM",
"middle_name": "ATHEA",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 2, 2020; 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.