Individual provider Active NPI

Sara Athea Stetson, ANP

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1124491501
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1514 Issued in AK
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

Updated by the provider on Oct 2, 2020

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 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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sstetson1209129@ak.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 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
I20160217002616 TX Practitioner - Nurse Practitioner 4587969209 Reassigns benefits to 1 organization
I20161020001280 AK Practitioner - Nurse Practitioner 4587969209 Reassigns benefits to 1 organization

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 IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

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 Home health agency, Anchorage, AK, CCN 027022
  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001
  • Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1514AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Jan 1, 2016 Accepting new patients
Forget Me Not Healthcare Clinic LLC Family CurrentSince Nov 23, 2020 Accepting new patients
Providence Health & Services Washington PastSince Apr 6, 2020 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

  • FHIR API: https://api.platform.athenahealth.com/21937/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.