Individual provider Active NPI

Kelsey Jeanne Cain, PA-C

  • Physician Assistant
  • Anchorage, AK
National Provider Identifier
1518516095
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
171479 Issued in AK
Practice address
540 Karluk St
Anchorage, AK 99501-2772
Phone
(907) 406-4696
NPI assigned
Sep 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 171479 AK
Physician Assistant 363A00000X 171479 AK Primary

Addresses

Primary practice location

540 Karluk St
Anchorage, AK 99501-2772

Mailing address

540 Karluk St
Anchorage, AK 99501-2772
Phone (907) 406-4696

Other identifiers 1

IdentifierTypeStateIssuer
1718325MedicaidAK

Other names 1

  • Kelsey Jeanne Huston Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX2 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
I20210414001890 AK Practitioner - Physician Assistant 5193133031 Reassigns benefits to 3 organizations
I20210415000343 TX Practitioner - Physician Assistant 5193133031 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
171479AKMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Radiology Associates Inc CurrentSince Sep 8, 2025 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Apr 12, 2021 Accepting new patients

Locations

3650 Piper St
Ste A
Anchorage, AK 99508
Phone (907) 339-9455

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

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

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22556/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1567900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1518516095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 KARLUK ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995012772",
            "telephone_number": "907-406-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 KARLUK ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995012772",
            "telephone_number": "907-406-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "KELSEY",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-08",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AK",
            "license": "171479",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "171479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1718325",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "HUSTON",
            "middle_name": "JEANNE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.