Individual provider Active NPI

Patricia Jane Thornton, CNM

  • Advanced Practice Midwife
  • Ketchikan, AK
National Provider Identifier
1356366371
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
NURR34850 Issued in AK
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

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1581024MedicaidAK
749195MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130116000442 AK Practitioner - Certified Nurse Midwife (CNM) 9931137742 Reassigns benefits to 1 organization

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
Russell Degroote MD PCGroup PAC ID 7012926629, 4 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
RN115723 AP1430AZMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Ketchikan Indian Corporation Current Accepting new patients
Russell Degroote MD PC CurrentSince Jun 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.