Active NPI
Rachel Susan Cuevas, M.D.
- Family Medicine Physician
- Palmer, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7733
- Practice address
- 2480 S Woodworth Loop Ste 150
Palmer, AK 99645-7408 - Phone
- (907) 861-6312
- Fax
- (907) 861-6322
- NPI assigned
- Aug 13, 2006
- Last updated
- Sep 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18000 | MS | |
| Family Medicine Physician | 207Q00000X | 7733 | AK | Primary |
Addresses
Primary practice location
2480 S Woodworth Loop Ste 150
Palmer, AK 99645-7408
Mailing address
2480 S Woodworth Loop Ste 150
Palmer, AK 99645-7408
Phone (907) 861-6312
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1579999 | Medicaid | AK | |
| 00284536 | Medicaid | MS |
Other names 1
- Mrs. Rachel Susan Conrad
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rachel.cuevas.1@2839.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7733 | AK | MD | Family Medicine Physician |
| 18000 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mat-Su Valley III LLC | Family Medicine | Current | Accepting new patients |
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| Mat-Su Valley III LLC | Current | Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients | |
| Rachel S Conrad MD PC | Family Medicine | Past | Accepting new patients |
| Mat-Su Regional Medical Center | Past | Accepting new patients |
Locations
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
209 W Evergreen Ave
Palmer, AK 99645
Phone (907) 861-1400
5851 S Knik Goose Bay Rd
Wasilla, AK 99623
Phone (907) 864-1300
950 E Bogard Rd
Ste 207
Wasilla, AK 99654
Phone (907) 357-9444
Interoperability endpoints
- https://api.platform.athenahealth.com/2839/brand/1/csg/1/fhir/r4
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mat Su Urgent Care - Palmer
- Urgent Care Clinic/Center
- Palmer, AK
- NPI 1518472984
-
- General Acute Care Hospital
- Palmer, AK
- NPI 1750530945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1508878885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 S WOODWORTH LOOP STE 150",
"city": "PALMER",
"state": "AK",
"postal_code": "996457408",
"telephone_number": "907-861-6312",
"fax_number": "907-861-6322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 S WOODWORTH LOOP STE 150",
"city": "PALMER",
"state": "AK",
"postal_code": "996457408",
"telephone_number": "907-861-6312",
"fax_number": "907-861-6322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUEVAS",
"first_name": "RACHEL",
"middle_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "18000",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "7733",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1579999",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00284536",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rachel.cuevas.1@2839.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "2480 S Woodworth Loop Ste 150",
"city": "Palmer",
"state": "AK",
"country_code": "US",
"postal_code": "996457408",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "CONRAD",
"middle_name": "SUSAN",
"prefix": "MRS.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.