Individual provider Active NPI

Karsen Leah Cullen, PA-C

  • Physician Assistant
  • Anchorage, AK
National Provider Identifier
1184496200
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
215965 Issued in AK
Practice address
4330 Elmore Rd
Anchorage, AK 99508-5907
Phone
(907) 729-6690
NPI assigned
Oct 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X 215965 AK Primary

Addresses

Primary practice location

4330 Elmore Rd
Anchorage, AK 99508-5907

Mailing address

7033 E Tudor Rd
Anchorage, AK 99507-1262
Phone (907) 729-8961

Other practice location 1

2421 E Tudor Rd Ste 108
Anchorage, AK 99507-1166
Phone (877) 522-1275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, WA, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20240222001290 AK Practitioner - Physician Assistant 5395189963 Reassigns benefits to 2 organizations
I20240522001055 WA Practitioner - Physician Assistant 5395189963 Reassigns benefits to 2 organizations
I20250819000737 TX Practitioner - Physician Assistant 5395189963 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcentral FoundationGroup PAC ID 5496663627, 168 clinicians

Practice addresses (Care Compare)

4330 Elmore Rd
Anchorage, AK 99508-5907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
215965AKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southcentral Foundation CurrentSince Jul 1, 2025 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jul 1, 2025 Accepting new patients
Ideal Option, PLLC CurrentSince Mar 1, 2024 Accepting new patients
Southcentral Foundation CurrentSince Jul 1, 2025 Accepting new patients
Ideal Option, PLLC Current Accepting new patients

Locations

7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

400 W Benson Blvd
Anchorage, AK 99503
Phone (907) 729-4200

2421 E Tudor Rd
Ste 108
Anchorage, AK 99507
Phone (907) 317-1703

4330 Elmore Rd
Anchorage, AK 99508
Phone (907) 729-6690

1221 Noble St
Ste 101
Fairbanks, AK 99701
Phone (907) 456-4234

416 Frontage Rd
#200
Kenai, AK 99611
Phone (907) 283-6030

1215 120th Ave NE
Ste 201
Bellevue, WA 98005
Phone (425) 248-4200

3800 Byron Ave
Ste 116
Bellingham, WA 98229
Phone (509) 416-0253

8508 W Gage Blvd
Ste A101
Kennewick, WA 99336
Phone 8775221275 ext. 3049

5615 Dunbarton Ave
Pasco, WA 99301
Phone 50922212752123

745 N Grand Ave
Apt 107
Pullman, WA 99163

500 SW 7th St
Ste A205
Renton, WA 98057

406 SE 131st Ave
Ste 104
Vancouver, WA 98683
Phone (360) 896-6944

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1184496200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071262",
            "telephone_number": "907-729-8961",
            "fax_number": "907-729-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 ELMORE RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085907",
            "telephone_number": "907-729-6690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2421 E Tudor Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995071166",
            "country_code": "US",
            "telephone_number": "877-522-1275",
            "fax_number": "833-888-7145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "KARSEN",
        "middle_name": "LEAH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "215965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.