Individual provider Active NPI

Tamara Ann Brothers McNeil, PA-C

  • Medical Physician Assistant
  • Anchorage, AK
National Provider Identifier
1417996307
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
662 Issued in AK
Practice address
3801 Lake Otis Pkwy Ste 300
Anchorage, AK 99508-5234
Phone
(907) 562-2277
Fax
(907) 563-3460
NPI assigned
Jun 6, 2006
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 662 AK Primary
Interventional Pain Medicine Physician 208VP0014X 662 AK

Addresses

Primary practice location

3801 Lake Otis Pkwy Ste 300
Anchorage, AK 99508-5234

Mailing address

3801 Lake Otis Pkwy Ste 300
Anchorage, AK 99508-5234
Phone (907) 562-2277

Other practice location 1

851 E Westpoint Dr Ste B6
Wasilla, AK 99654-7191
Phone (907) 357-3740

Other practice location 2

501 1st Street
Prudhoe Bay, AK 99734
Phone (907) 685-1725

Other practice location 3

10928 Eagle River Rd Ste 240
Eagle River, AK 99577-8080
Phone (907) 622-7246

Other identifiers 1

IdentifierTypeStateIssuer
1573260MedicaidAK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051116000994 AK Practitioner - Physician Assistant 4688616667 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orthoalaska LLCGroup PAC ID 2961705520, 167 clinicians
Pain and Headache Center LLCGroup PAC ID 1456593409, 5 clinicians

Practice addresses (Care Compare)

10928 Eagle River Rd
Suite 240
Eagle River, AK 99577-8080
Phone (907) 622-7246

36275 Kenai Spur Hwy
Suite 1
Soldotna, AK 99669-7157
Phone (907) 420-0565

3801 Lake Otis Pkwy
Anchorage, AK 99508-5234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
662AKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoalaska, LLC Interventional Pain Medicine CurrentSince Apr 21, 2025 Accepting new patients
Medical Network of Alaska, LLC Current Accepting new patients
Medical Network of Alaska, LLC CurrentSince Aug 11, 2023 Accepting new patients
Orthoalaska LLC CurrentSince Apr 21, 2025 Accepting new patients
Medical Network of Alaska, LLC CurrentSince Aug 11, 2023 Accepting new patients
Freedom Behavioral Health Alaska LLC PastSince Feb 18, 2024 Accepting new patients
Orthoalaska, LLC Past Accepting new patients
Medical Group of Alaska Past Accepting new patients
Orthoalaska LLC PastSince Jan 21, 2024 Accepting new patients
Medical Network of Alaska, LLC Past Accepting new patients
Algone Center Interventional Pain Medicine Past Accepting new patients
Mat-Su Ear, Nose, Throat & Facial Plastics, Inc. PastSince Nov 11, 2005 Accepting new patients

Locations

3801 Lake Otis Pkwy
Ste 300
Anchorage, AK 99508
Phone (907) 341-5238

10928 Eagle River Rd
Ste 240
Eagle River, AK 99577
Phone (907) 622-2478

13015 Old Glenn Hwy
Ste 100
Eagle River, AK 99577

10543 Kenai Spur Hwy
Kenai, AK 99611
Phone (907) 283-9118

3066 E Meridian Park Loop
Ste 1
Wasilla, AK 99654
Phone (907) 707-1671

3122 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 864-4625

3125 E Meridian Park Loop
Ste 300
Wasilla, AK 99654
Phone (907) 357-2267

3331 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 357-2332

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/DACAAA
  • Direct secure messaging: tamara.brothersmcneil.p1@direct.opaak.nextgenshare.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1417996307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 LAKE OTIS PKWY STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085234",
            "telephone_number": "907-562-2277",
            "fax_number": "907-563-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 LAKE OTIS PKWY STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085234",
            "telephone_number": "907-562-2277",
            "fax_number": "907-563-3460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 E Westpoint Dr Ste B6",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547191",
            "country_code": "US",
            "telephone_number": "907-357-3740",
            "fax_number": "800-915-0385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 1st Street",
            "address_purpose": "LOCATION",
            "city": "Prudhoe Bay",
            "state": "AK",
            "postal_code": "99734",
            "country_code": "US",
            "telephone_number": "907-685-1725",
            "fax_number": "907-357-9593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10928 Eagle River Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Eagle River",
            "state": "AK",
            "postal_code": "995778080",
            "country_code": "US",
            "telephone_number": "907-622-7246",
            "fax_number": "907-622-7247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROTHERS MCNEIL",
        "first_name": "TAMARA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "662",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AK",
            "license": "662",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1573260",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.