Sharon L Hart, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

AA169 Issued in AK

Practice address

Mile 69.1 Parks Highway
Willow, AK 99688

Phone

(907) 495-4362

Fax

(907) 495-4363

NPI assigned

Jul 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

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 1

Specialty

Physician Assistant

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heart of Eagle River Medical ClinicGroup PAC ID 0345240214, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mat-Su Regional Medical Center Hospital, Palmer, AK, CCN 020006

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Heart of Eagle River Medical Clinic

  • Family Medicine Physician
  • Eagle River, AK
  • NPI 1033277041
  Medicare reassignment Care Compare group
• Jose Primo N Anzilotti

  • General Practice Physician
  • Willow, AK
  • NPI 1982721981
  NPD (past)

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

• Mat-Su Valley Medical Center LLC

  • General Acute Care Hospital
  • Palmer, AK
  • NPI 1417975061
  Care Compare affiliation

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1376708347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520558",
            "city": "BIG LAKE",
            "state": "AK",
            "postal_code": "996520558",
            "telephone_number": "907-892-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MILE 69.1 PARKS HIGHWAY",
            "city": "WILLOW",
            "state": "AK",
            "postal_code": "99688",
            "telephone_number": "907-495-4362",
            "fax_number": "907-495-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "SHARON",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "AA169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Cox
• Curtis Harvie Psychiatric Care LLC
• Chanel Irene Marie Ebert, PT, DPT
• Sandi J Farris, DVM
• Sara Furcini
• Curtis Clifford Harvie, APRN
• Linda Horstmann, LBSW MED
• Jason M. Lane DDS, LLC
• Johnson'S LTD,. Inc.
• Jose Primo N Anzilotti

• Physician Assistant in Willow, AK
• Providers in Willow, AK by specialty
• Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.