Individual provider Active NPI

Paula Loftis

  • Family Nurse Practitioner
  • Palmer, AK
National Provider Identifier
1356906408
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
154623 Issued in AK
Practice address
8751 E Mile 6 Rd
Palmer, AK 99645-8079
Phone
(813) 841-0163
NPI assigned
May 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11002185 FL
Family Nurse Practitioner 363LF0000X 154623 AK Primary

Addresses

Primary practice location

8751 E Mile 6 Rd
Palmer, AK 99645-8079

Mailing address

8751 E Mile 6 Rd
Palmer, AK 99645-8079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AK2 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

Enrollment IDStateProvider typePAC IDDetails
I20190830001320 FL Practitioner - Nurse Practitioner 9234467127 Reassigns benefits to 1 organization
I20200227000623 AK Practitioner - Nurse Practitioner 9234467127 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
154623AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Anesthesia Medical Services 1, PA CurrentSince Aug 1, 2019 Accepting new patients
Arctic Medical Center CurrentSince Jan 4, 2020 Accepting new patients

Locations

218 W 34th Ave
Anchorage, AK 99503
Phone (907) 290-5500

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1356906408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 E MILE 6 RD",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 E MILE 6 RD",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458079",
            "telephone_number": "813-841-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTIS",
        "first_name": "PAULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-04",
        "last_updated": "2021-03-08",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002185",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "154623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

Verify at the official NPI Registry.