Individual provider Active NPI

Colleen Kersgard, MD

  • Hematology & Oncology Physician
  • Palmer, AK
National Provider Identifier
1194875831
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
179758 Issued in AK
Practice address
2490 S Woodworth Loop Ste 499
Palmer, AK 99645-7411
Phone
(907) 746-7771
Fax
(907) 746-7798
NPI assigned
Jan 12, 2007
Last updated
Jul 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 01055121A IN
Hematology & Oncology Physician 207RH0003X 179758 AK Primary

Addresses

Primary practice location

2490 S Woodworth Loop Ste 499
Palmer, AK 99645-7411

Mailing address

PO Box 75692
Chicago, IL 60675-5692
Phone (907) 746-7771

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171219000195 TX Practitioner - Hematology/Oncology 3375787336 Reassigns benefits to 1 organization
I20211117002928 AK Practitioner - Hematology/Oncology 3375787336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2000
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
Midnight Sun Oncology Partners LLCGroup PAC ID 1456661487, 2 clinicians

Practice addresses (Care Compare)

10928 Eagle River Rd
Eagle River, AK 99577-8078
Phone (907) 694-8085

2490 S Woodworth Loop
Suite 499
Palmer, AK 99645-7411
Phone (907) 746-7771

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
179758AKMDHematology & Oncology Physician
01055121AINMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Dec 1, 2017 Accepting new patients
Midnight Sun Oncology Partners, LLC Hematology & Oncology CurrentSince Sep 24, 2021 Accepting new patients

Locations

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

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

2490 S Woodworth Loop
Ste 499
Palmer, AK 99645
Phone (907) 357-4600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1194875831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75692",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606755692",
            "telephone_number": "907-746-7771",
            "fax_number": "907-746-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 S WOODWORTH LOOP STE 499",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457411",
            "telephone_number": "907-746-7771",
            "fax_number": "907-746-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSGARD",
        "first_name": "COLLEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01055121A",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AK",
            "license": "179758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

Verify at the official NPI Registry.