Individual provider Active NPI

Scott William Schafer, PA-C, MPAS

  • Medical Physician Assistant
  • Wasilla, AK
National Provider Identifier
1427049238
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
3066 E Meridian Park Loop
Capstone Urgent Care
Wasilla, AK 99654-7372
Phone
(907) 357-9560
Fax
(907) 357-9596
NPI assigned
Nov 1, 2005
Last updated
Jun 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

3066 E Meridian Park Loop
Capstone Urgent Care
Wasilla, AK 99654-7372

Mailing address

3066 E Meridian Park Loop
Capstone Urgent Care
Wasilla, AK 99654-7372
Phone (907) 357-9560

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
I20131113001981 AK Practitioner - Physician Assistant 9830325281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Network of Alaska LLCGroup PAC ID 3072618859, 70 clinicians

Practice addresses (Care Compare)

3122 E Meridian Park Loop
Wasilla, AK 99654-7255
Phone (907) 357-9590

3765 E Blue Lupine Dr
Suite C
Wasilla, AK 99654-8417
Phone (907) 357-9560

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Network of Alaska, LLC CurrentSince Jun 1, 2019 Accepting new patients
Medical Network of Alaska, LLC Current Accepting new patients
Medical Network of Alaska, LLC CurrentSince Jun 1, 2019 Accepting new patients
Medical Network of Alaska, LLC Past Accepting new patients
Medical Network of Alaska, LLC Past Accepting new patients

Locations

3066 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 357-2332

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

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

3765 E Blue Lupine Dr
Wasilla, AK 99654
Phone (907) 373-9462

3765 E Blue Lupine Dr
Ste C
Wasilla, AK 99654
Phone (907) 357-9560

Interoperability endpoints

  • Direct secure messaging: scott.schafer.1@27294.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1427049238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3066 E MERIDIAN PARK LOOP",
            "address_2": "CAPSTONE URGENT CARE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547372",
            "telephone_number": "907-357-9560",
            "fax_number": "907-357-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3066 E MERIDIAN PARK LOOP",
            "address_2": "CAPSTONE URGENT CARE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547372",
            "telephone_number": "907-357-9560",
            "fax_number": "907-357-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "SCOTT",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-01",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

Verify at the official NPI Registry.