Kati Jo Tuma, MMS, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

135795 Issued in AK

Practice address

1275 Sadler Way Ste 105
Fairbanks, AK 99701-3175

Phone

(307) 267-6150

Fax

(866) 598-2420

NPI assigned

Jan 7, 2014

Last updated

Jan 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Kate J Tuma Professional name

Medicare fee-for-service enrollment

Enrolled in WY, TX2 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 2

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Casper General Surgery LLCGroup PAC ID 5395061204, 4 clinicians

Tanana Chiefs ConferenceGroup PAC ID 9537050109, 148 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Casper General Surgery, LLC

  • Surgery Physician
  • Casper, WY
  • NPI 1215335179
  Medicare reassignment Care Compare group NPD
• Tanana Chiefs Conference

  • Multi-Specialty Clinic/Center
  • Fairbanks, AK
  • NPI 1821201278

  TX

  Medicare reassignment Care Compare group
• KJT, LLC

  dba Black Mountain Wellness

  • Multi-Specialty Clinic/Center
  • Fairbanks, AK
  • NPI 1114800562
  NPD Authorized official
• Tanana Chiefs Conference

  • Ambulatory Surgical Clinic/Center
  • Fairbanks, AK
  • NPI 1871332387
  NPD

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1306268628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 SHUROS DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997096740",
            "telephone_number": "307-267-6150",
            "fax_number": "866-598-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SADLER WAY STE 105",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013175",
            "telephone_number": "307-267-6150",
            "fax_number": "866-598-2420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 W Cowles St",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997015926",
            "country_code": "US",
            "telephone_number": "907-451-6682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUMA",
        "first_name": "KATI",
        "middle_name": "JO",
        "credential": "MMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WY",
            "license": "PA586",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "135795",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WY",
            "license": "TL586",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "TUMA",
            "middle_name": "J",
            "credential": "MMS, PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shannon L Tsigonis, MS
• Algie Tuck, AA
• Rex James Tucker, M.A.
• Marlena Tufford
• Karlon R Tuluk
• Jenelle Tuoti
• Melinda Lee Turcotte, APRN
• Thomas Addison Turnbough, BS
• Kerry Turnbow, LPC
• Shinnel-Marie Shurlan Turner-Sarjeant

• Medical Physician Assistant in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Medical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.