Kevin Michael Iskra, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1060 Gaffney Rd Stop 7440
Ft Wainwright, AK 99703-5007

Phone

(907) 361-5603

Fax

(907) 361-4847

NPI assigned

Aug 11, 2010

Sex

Male

Sole proprietor

Yes

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 TX

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

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Aleutian Tribes, Inc.Group PAC ID 2860301884, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Eastern Aleutian Tribes, Inc

  • Community Health Clinic/Center
  • King Cove, AK
  • NPI 1649332446

  TX

  Medicare reassignment Care Compare group
• Eastern Aleutian Tribes, Inc

  • Clinic/Center
  • Sand Point, AK
  • NPI 1346662608
  NPD

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1497060792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD# 7440",
            "address_2": "USA MEDDAC-AK ATTN:MCUC-MMD-QM (CREDENTIALS)",
            "city": "FT. WAINWRIGHT",
            "state": "AK",
            "postal_code": "997037440",
            "telephone_number": "907-361-5603",
            "fax_number": "907-361-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD STOP 7440",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997035007",
            "telephone_number": "907-361-5603",
            "fax_number": "907-361-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISKRA",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Hubert, LOTR
• Jane A Hull, LP, LADC
• Timothy Andrew Hunter, M.D.
• Steven Douglas Hurtle Jr., PA-C, PHD
• Cynthia Inderrieden
• Wilma June Ison, LPN
• Candace Jackson-Hillock, BS
• Kara James, LCSW
• Chelsea Johnson, DNP
• Christopher George Johnston

• Physician Assistant in Ft Wainwright, AK
• Providers in Ft Wainwright, AK by specialty
• Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.