Active NPI
Patricia Jane Thornton, CNM
- Advanced Practice Midwife
- Ketchikan, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- NURR34850
- Practice address
- 25 Jefferson Way Ste 101
Ketchikan, AK 99901-5953 - Phone
- (907) 247-9999
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | NURR34850 | AK | Primary |
| Advanced Practice Midwife | 367A00000X | RN115723 AP1430 | AZ |
Addresses
Primary practice location
25 Jefferson Way Ste 101
Ketchikan, AK 99901-5953
Mailing address
PO Box 1099
Ward Cove, AK 99928-1099
Phone (907) 247-9999
Other practice location 1
Pinon Health Center
Indian Health Service
Pinon, AZ 86510
Phone (928) 725-9500 ext. 9618
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1581024 | Medicaid | AK | |
| 749195 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Jefferson Way
Suite 101a
Ketchikan, AK 99901-5953
Phone (907) 247-9999
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.12 of 100
- Quality
- 81.91
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 40.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN115723 AP1430 | AZ | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ketchikan Indian Corporation | Current | Accepting new patients | |
| Russell Degroote MD PC | Current | Accepting new patients | |
| Obstetrix Medical Group of Arizona, P.C. | Advanced Practice Midwife | Past | Accepting new patients |
Locations
25 Jefferson Way
Ste 101A
Ketchikan, AK 99901
Phone (907) 247-9999
25 Jefferson Way
Ste 101
Ketchikan, AK 99901
Phone (907) 247-9999
3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104
Interoperability endpoints
- pjthornton@direct.kictribe.org
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Ketchikan, AK
- NPI 1033278155
-
- Primary Care Clinic/Center
- Ketchikan, AK
- NPI 1821120486
-
- Maternal & Fetal Medicine Physician
- Tucson, AZ
- NPI 1316961022
Advanced Practice Midwife
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1356366371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1099",
"city": "WARD COVE",
"state": "AK",
"postal_code": "999281099",
"telephone_number": "907-247-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 JEFFERSON WAY STE 101",
"city": "KETCHIKAN",
"state": "AK",
"postal_code": "999015953",
"telephone_number": "907-247-9999"
}
],
"practiceLocations": [
{
"address_1": "PINON HEALTH CENTER",
"address_2": "INDIAN HEALTH SERVICE",
"address_purpose": "LOCATION",
"city": "PINON",
"state": "AZ",
"postal_code": "86510",
"country_code": "US",
"telephone_number": "928-725-9500 x9618",
"fax_number": "928-725-9540",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THORNTON",
"first_name": "PATRICIA",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AK",
"license": "NURR34850",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AZ",
"license": "RN115723 AP1430",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1581024",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "749195",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ketchikan, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.