Individual provider Active NPI

Kristen Prestegard, PA-C

  • Medical Physician Assistant
  • Wasilla, AK
National Provider Identifier
1467325415
Registry record updated Jul 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
3719 E Meridian Loop Ste E
Wasilla, AK 99654-7273
Phone
(907) 600-0030
Fax
(907) 206-7153
NPI assigned
Sep 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2026

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 AK Primary

Addresses

Primary practice location

3719 E Meridian Loop Ste E
Wasilla, AK 99654-7273

Mailing address

447 E 76TH Ave Apt 2
Anchorage, AK 99518-2883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Chicago, IL 60675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Facial Plastic Surgery & ENT CurrentSince Jun 15, 2026 Accepting new patients

Locations

3340 Providence Dr
#A363
Anchorage, AK 99508
Phone (907) 600-0030

3719 E Meridian Loop
Ste E
Wasilla, AK 99654
Phone (907) 373-8281

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783814400000",
    "number": "1467325415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 E 76TH AVE APT 2",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995182883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 E MERIDIAN LOOP STE E",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547273",
            "telephone_number": "907-600-0030",
            "fax_number": "907-206-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTEGARD",
        "first_name": "KRISTEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-25",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

Verify at the official NPI Registry.