Matthew Alexander Morisette, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1127047 Issued in CO

Practice address

1060 Gaffney Rd. #7440
USA Meddac-Ak / Attn: McUc-MMD-QM (Credentials)
Ft. Wainwright, AK 99703-7440

Phone

(907) 361-5603

NPI assigned

Sep 22, 2015

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1174992036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COUNTRY CLUB HEIGHTS BLVD",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363308204",
            "telephone_number": "253-306-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD. #7440",
            "address_2": "USA MEDDAC-AK / ATTN: MCUC-MMD-QM (CREDENTIALS)",
            "city": "FT. WAINWRIGHT",
            "state": "AK",
            "postal_code": "997037440",
            "telephone_number": "907-361-5603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Andrews Ave",
            "address_2": "Bldg 301",
            "address_purpose": "LOCATION",
            "city": "Fort Rucker",
            "state": "AL",
            "postal_code": "36362",
            "country_code": "US",
            "telephone_number": "334-255-7033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORISETTE",
        "first_name": "MATTHEW",
        "middle_name": "ALEXANDER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1127047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Fort Wainwright, AK
• Providers in Fort Wainwright, AK by specialty
• Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.