Individual provider Active NPI

Rachel Susan Cuevas, M.D.

  • Family Medicine Physician
  • Palmer, AK
National Provider Identifier
1508878885
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7733 Issued in AK
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1579999MedicaidAK
00284536MedicaidMS

Other names 1

  • Mrs. Rachel Susan Conrad Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rachel.cuevas.1@2839.direct.athenahealth.com

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140506001417 TX Practitioner - Family Practice 5496713166 Reassigns benefits to 1 organization
I20181005001916 AK Practitioner - Family Practice 5496713166 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7733AKMDFamily Medicine Physician
18000MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mat-Su Valley III LLC Family Medicine Current Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Mar 10, 2016 Accepting new patients
Mat-Su Valley III LLC CurrentSince Nov 22, 2021 Accepting new patients
Southcentral Foundation Past Accepting new patients
Rachel S Conrad MD PC Family Medicine PastSince Oct 1, 2004 Accepting new patients
Mat-Su Regional Medical Center PastSince Sep 27, 2020 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.