Sean Edward Allworth, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

233572 Issued in AK

Practice address

1100 E Dimond Blvd Ste 103
Anchorage, AK 99515-2001

Phone

(907) 267-5890

Fax

(844) 670-3889

NPI assigned

Nov 11, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

University of Nebraska College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Network of Alaska LLCGroup PAC ID 3072618859, 70 clinicians

Advanced Dermatology of Alaska LLCGroup PAC ID 5991271041, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sean.allworth.1@27294.direct.athenahealth.com

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.

• Advanced Dermatology of Alaska LLC

  • Dermatology Physician
  • Wasilla, AK
  • NPI 1760356208
  Medicare reassignment Care Compare group
• Medical Network of Alaska, LLC

  • Urgent Care Clinic/Center
  • Wasilla, AK
  • NPI 1538414834
  Medicare reassignment Care Compare group
• Medical Network of Alaska, LLC

  • Clinical Medical Laboratory
  • Wasilla, AK
  • NPI 1467167585
  NPD
• Medical Network of Alaska, LLC

  • Orthopaedic Surgery Physician
  • Eagle River, AK
  • NPI 1821796533
  NPD
• Medical Network of Alaska, LLC

  • Otolaryngology Physician
  • Anchorage, AK
  • NPI 1922862986
  NPD
• Medical Network of Alaska, LLC

  • Specialist
  • Wasilla, AK
  • NPI 1508089046
  NPD (past)

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1487310769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E DIMOND BLVD STE 103",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152001",
            "telephone_number": "907-267-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E DIMOND BLVD STE 103",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152001",
            "telephone_number": "907-267-5890",
            "fax_number": "844-670-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLWORTH",
        "first_name": "SEAN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-11",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "233572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Allison, MHS
• Justin Charles Allison
• Darrell Lynn Allman
• Kristin Kay Allmaras, PHARMD
• Taylor Allmond, LMT
• Rana Almasri
• Charles Almasy
• Kayla Almasy
• Janery Almonte Villa
• Mohammed Almozain, PHARMD, BCPS

• Physician Assistant in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.

Verify at the official NPI Registry.