NPIMap

Individual provider Active NPI

Jamie L Lytton, PA-C

  • Physician Assistant
  • Anchorage, AK
National Provider Identifier
1366834137
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12034 Issued in TX
Practice address
2925 Debarr Rd Ste 240
Anchorage, AK 99508-2959
Phone
(907) 339-4650
Fax
(907) 339-4694
NPI assigned
Mar 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA12034 TX Primary

Addresses

Primary practice location

2925 Debarr Rd Ste 240
Anchorage, AK 99508-2959

Mailing address

2925 Debarr Rd Ste 240
Anchorage, AK 99508-2959
Phone (907) 339-4650

Other practice location 1

3802 Catclaw Dr
Abilene, TX 79606-8253
Phone (325) 690-1500

Other practice location 2

1634 Texas 351
Abilene, TX 79601
Phone (325) 676-1100

Other practice location 3

1665 Antilley Rd Ste 200
Abilene, TX 79606
Phone (325) 793-5359

Other practice location 4

1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180731000860 TX Practitioner - Physician Assistant 8022366509 Reassigns benefits to 1 organization
I20201017000037 AK Practitioner - Physician Assistant 8022366509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
NeuroversionGroup PAC ID 7012297062, 10 clinicians

Practice addresses (Care Compare)

10928 Eagle River Rd
Eagle River, AK 99577-8078
Phone (907) 694-8085

1700 E Bogard Rd
Wasilla, AK 99654-6570
Phone (907) 921-5088

2925 Debarr Rd
Suite D240
Anchorage, AK 99508-2900
Phone (907) 339-4650

Hospital & facility affiliations

  • Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017
  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001
  • Central Peninsula General Hospital Hospital, Soldotna, AK, CCN 020024
  • South Peninsula Hospital Hospital, Homer, AK, CCN 021313

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

Merit-based Incentive Payment System (MIPS)

Final score
93.68 of 100Reported as group
Quality
82.26
Promoting interoperability
99
Improvement activities
40
Cost
76.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1084SDMDChiropractor
PA12034TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jamie.lytton@neu.eclinicaldirectplus.com

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.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1366834137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 DEBARR RD STE 240",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082959",
            "telephone_number": "907-339-4650",
            "fax_number": "907-339-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 DEBARR RD STE 240",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082959",
            "telephone_number": "907-339-4650",
            "fax_number": "907-339-4694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3802 Catclaw Dr",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796068253",
            "country_code": "US",
            "telephone_number": "325-690-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1634 Texas 351",
            "address_purpose": "LOCATION",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79601",
            "country_code": "US",
            "telephone_number": "325-676-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1665 Antilley Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "79606",
            "country_code": "US",
            "telephone_number": "325-793-5359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Pine St",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796012432",
            "country_code": "US",
            "telephone_number": "325-670-2000",
            "fax_number": "325-670-3458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYTTON",
        "first_name": "JAMIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-03",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.