Jason Eric Wallentine, MD
Individual provider Active NPI Family Medicine Physician · Soldotna, AK
NPI 1154884328 · NPPES record last updated Aug 15, 2022
Key facts
- NPI
- 1154884328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01085823A (IN)
- Practice address
- 245 N Binkley St Ste 101
Soldotna, AK 99669-7500 - Phone
- (907) 714-4111
- NPI assigned
- Apr 12, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 21
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Central Peninsula General Hospital Inc
Practice addresses (Care Compare)
245 N Binkley St
Soldotna, AK 99669-7500
Phone (907) 714-4521
Hospital & facility affiliations
- Kenai Peninsula Home Health, LLC
- Central Peninsula General Hospital
- Heritage Place
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.44 of 100
- Quality
- 62.56
- Promoting interoperability
- 81
- Improvement activities
- 40
- Cost
- 67.88
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 14 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 13 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220826001520 | AK | Practitioner - Family Practice | 9335535129 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Peninsula General Hospital Inc. | Current |
Accepting new patients | |
| North Star Medical Imaging PLLC | Current | Accepting new patients | |
| Central Peninsula General Hospital, Inc | Current |
Accepting new patients | |
| Central Peninsula General Hospital, Inc | Past | Accepting new patients | |
| Central Peninsula General Hospital Inc | Past | Accepting new patients |
Locations
245 N Binkley St
Ste 101
Soldotna, AK 99669
Phone (907) 714-4111
232 W Rockwell Ave
Soldotna, AK 99669
Phone (907) 375-3355
245 N Binkley St
Soldotna, AK 99669
Phone (907) 714-4111
250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404
Interoperability endpoints
- jwallentine2420576@ak.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01085823A | IN | Yes |
Addresses
Primary practice location
245 N Binkley St Ste 101
Soldotna, AK 99669-7500
Mailing address
221 N Celia Ave
Muncie, IN 47303-4609
Phone (765) 747-3141
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jwallentine2420576@ak.providencedirect.org | Central Peninsula General Hospital Inc |
Other providers in Soldotna, AK
- April Velvet Walgenbach
- Walgreen Co
- Timothy Charles Walker
- Jeannine Wall
- Joshua Wallace
- Joanna Oliver Walls
- Jimmy Ward
- Angus McRae Warren
- Christy Nicole Warren
- Stehnner Warren
All providers in Soldotna, AK · Family Medicine Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.