Michael Niemi, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

716 Issued in AK

Practice address

5955 Zeamer Ave
Sgoee- Emergency Room
Jber, AK 99506-3702

Phone

(907) 580-5556

Fax

(907) 580-2230

NPI assigned

Apr 4, 2006

Sex

Male

Sole proprietor

No

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15729/brand/1/csg/1/fhir/r4

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.

• Alaska Medical Clinics, LLC

  • Urgent Care Clinic/Center
  • Wasilla, AK
  • NPI 1316015480
  NPD (past)
• Benjamin Kennah PA-C

  • Surgical Physician Assistant
  • Anchorage, AK
  • NPI 1134599061
  NPD (past)
• First Care Medical Centers LLC

  • Urgent Care Clinic/Center
  • Anchorage, AK
  • NPI 1578655213
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1285696419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 ZEAMER AVE",
            "address_2": "SGOEE- EMERGENCY ROOM",
            "city": "JBER",
            "state": "AK",
            "postal_code": "995063702",
            "telephone_number": "907-580-5556",
            "fax_number": "907-580-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 ZEAMER AVE",
            "address_2": "SGOEE- EMERGENCY ROOM",
            "city": "JBER",
            "state": "AK",
            "postal_code": "995063702",
            "telephone_number": "907-580-5556",
            "fax_number": "907-580-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMI",
        "first_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie M Musselman, LCSW
• Rae H Nakayama, PHARMD
• Clell Lee Neighbors, LAC, LCSW
• Jeffrey A Newsom, O.D.
• Alisa Niehuser
• Charles Daniel Northcutt, DDS
• Kristin Michelle Nosek, LCSW
• Donovan Chan Nourn, DO
• Pamela Langley Novy, PH.D.
• Suzette A O'Donnell, LCSW

• Physician Assistant in Jber, AK
• Providers in Jber, AK by specialty
• Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.