Individual provider Active NPI

Carrington L Sedgwick, PA-C

  • Physician Assistant
  • Juneau, AK
National Provider Identifier
1477634616
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1221 Issued in AK
Practice address
3260 Hospital Dr
Juneau, AK 99801-7808
Phone
(907) 796-8900
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 00948 OR
Physician Assistant 363A00000X PA10005159 WA
Physician Assistant 363A00000X 1221 AK Primary

Addresses

Primary practice location

3260 Hospital Dr
Juneau, AK 99801-7808

Mailing address

PO Box 211076
Auke Bay, AK 99821-1076
Phone (907) 500-5725

Other identifiers 3

IdentifierTypeStateIssuer
1011388MedicaidWA
1651401MedicaidAK
8475873MedicaidWA

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
I20160812002005 AK Practitioner - Physician Assistant 4284529793 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bartlett Regional HospitalGroup PAC ID 2062932965, 6 clinicians

Practice addresses (Care Compare)

3250 Hospital Dr
Juneau, AK 99801-7808
Phone (907) 796-8198

3260 Hospital Dr
Juneau, AK 99801-7808

Hospital & facility affiliations

  • Bartlett Regional Hospital Hospital, Juneau, AK, CCN 020008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1221AKMDPhysical Therapy Assistant
00948ORMDPhysician Assistant
PA10005159WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald L. Teed, M.D., P.C. PastSince Aug 16, 2001 Accepting new patients
Sarah Lampton, PC Past Accepting new patients
Bartlett Regional Hospital Past Accepting new patients
Olympia Orthopaedic Associates PLLC Past Accepting new patients
Juneau Aesthetics & Wellness LLC PastSince Sep 14, 2025 Accepting new patients
Pleasants Integrative Health Consultants PastSince Aug 17, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5512/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1477634616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211076",
            "city": "AUKE BAY",
            "state": "AK",
            "postal_code": "998211076",
            "telephone_number": "907-500-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 HOSPITAL DR",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017808",
            "telephone_number": "907-796-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDGWICK",
        "first_name": "CARRINGTON",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "00948",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10005159",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "1221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011388",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1651401",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8475873",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

Verify at the official NPI Registry.