Individual provider Active NPI

Rebecca D Plymire, PA-C

  • Physician Assistant
  • Homer, AK
National Provider Identifier
1497713192
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
687 Issued in AK
Practice address
4136 Bartlett St
Homer, AK 99603-7001
Phone
(907) 235-8586
Fax
(907) 235-6639
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 687 AK Primary

Addresses

Primary practice location

4136 Bartlett St
Homer, AK 99603-7001

Mailing address

4136 Bartlett St
Homer, AK 99603-7001
Phone (907) 235-8586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040825000593 TX Practitioner - Physician Assistant 5799759627 Reassigns benefits to 2 organizations
I20051008000202 AK Practitioner - Physician Assistant 5799759627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
687AKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium CurrentSince Nov 28, 2016 Accepting new patients
South Peninsula Hospital, Inc CurrentSince Jan 24, 2022 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jun 8, 2013 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Nov 28, 2016 Accepting new patients
Tok Clinic, LLC Past Accepting new patients
Raymond E. Andreassen Past Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

4136 Bartlett St
Homer, AK 99603
Phone (907) 235-6127

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

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.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1497713192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4136 BARTLETT ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037001",
            "telephone_number": "907-235-8586",
            "fax_number": "907-235-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4136 BARTLETT ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037001",
            "telephone_number": "907-235-8586",
            "fax_number": "907-235-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLYMIRE",
        "first_name": "REBECCA",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, AK

Sources for this page

Verify at the official NPI Registry.