Active NPI
Jane Sonnenburg, PA-C
- Medical Physician Assistant
- Anchorage, AK
National Provider Identifier
1518968403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 759
- Practice address
- 2741 Debarr Rd
Ste. C-308
Anchorage, AK 99508-2961 - Phone
- (907) 272-3366
- Fax
- (907) 272-0269
- NPI assigned
- Aug 2, 2005
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 759 | AK | Primary |
| Medical Physician Assistant | 363AM0700X | PA61298356 | WA |
Addresses
Primary practice location
2741 Debarr Rd
Ste. C-308
Anchorage, AK 99508-2961
Mailing address
PO Box 808
Veradale, WA 99037-0808
Phone (509) 363-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA61298356 | Other | WA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
825 Bennett Ave
Medford, OR 97504-6715
Phone (541) 779-5228
842 E Main St
Medford, OR 97504-7134
Phone (541) 779-5228
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 759 | AK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthoalaska, LLC | Past | Accepting new patients | |
| Medical Group of Alaska | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DACAAA
Organizations & group practices 3
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.
-
- Interventional Pain Medicine Physician
- Medford, OR
- NPI 1699793505
-
- Pain Medicine Physician
- Wasilla, AK
- NPI 1174882971
-
- Orthopaedic Surgery Physician
- Anchorage, AK
- NPI 1871529990
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
-
- General Acute Care Hospital
- Medford, OR
- NPI 1689755670
-
- General Acute Care Hospital
- Klamath Falls, OR
- NPI 1659340370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1518968403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 808",
"city": "VERADALE",
"state": "WA",
"postal_code": "990370808",
"telephone_number": "509-363-3100",
"fax_number": "509-363-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2741 DEBARR RD",
"address_2": "STE. C-308",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082961",
"telephone_number": "907-272-3366",
"fax_number": "907-272-0269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONNENBURG",
"first_name": "JANE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AK",
"license": "759",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA61298356",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA61298356",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.