Active NPI
Jeremy Rosiecki
- Physician Assistant
- Anchorage, AK
National Provider Identifier
1396138434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MR4093465
- Practice address
- 2925 Debarr Road
Suite 300
Anchorage, AK 99508 - Phone
- (907) 279-3155
- NPI assigned
- Mar 13, 2015
- Last updated
- Nov 24, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MR4093465 | AK | Primary |
Addresses
Primary practice location
2925 Debarr Road
Suite 300
Anchorage, AK 99508
Mailing address
2925 Debarr Road
Suite 300
Anchorage, AK 99508
Phone (907) 279-3155
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | AOH@directaddress.net | Alaska Oncology and Hematology LLC |
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2925 Debarr Rd
Suite 300
Anchorage, AK 99508-2974
Phone (907) 279-3155
Hospital & facility affiliations
- Providence Alaska Medical Center
- Alaska Regional Hospital
- Mat-Su Regional Medical Center
- Providence Kodiak Island Medical Ctr
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.59 of 100
- Quality
- 83.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 16.65
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.58 of 100
- Quality
- 74.05
- Improvement activities
- 40
- Cost
- 56.66
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- aoh@directaddress.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hematology & Oncology Physician
- Anchorage, AK
- NPI 1487713848
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Alaska Regional Hospital
- General Acute Care Hospital
- Anchorage, AK
- NPI 1952348047
-
dba Mat-Su Regional Medical Center
- General Acute Care Hospital
- Palmer, AK
- NPI 1417975061
-
dba Providence Kodiak Island Medical Center
- Critical Access Hospital
- Kodiak, AK
- NPI 1013905660
-
dba Providence Alaska Medical Center
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1396138434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 DEBARR ROAD",
"address_2": "SUITE 300",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99508",
"telephone_number": "907-279-3155",
"fax_number": "907-279-3154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 DEBARR ROAD",
"address_2": "SUITE 300",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99508",
"telephone_number": "907-279-3155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSIECKI",
"first_name": "JEREMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-13",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AK",
"license": "MR4093465",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "AOH@directaddress.net",
"affiliation": "Y",
"affiliationName": "Alaska Oncology and Hematology LLC",
"address_1": "2925 DeBarr Road",
"address_2": "Suite 300",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "99508",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.