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Individual provider Active NPI

Jennifer Lynn Sanders, PA-C

  • Physician Assistant
  • Anchorage, AK
National Provider Identifier
1578992434
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
224185 Issued in AK
Practice address
3380 C St
Anchorage, AK 99503-3949
Phone
(907) 277-1440
Fax
(907) 277-1446
NPI assigned
Nov 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9110539 FL
Physician Assistant 363A00000X 224185 AK Primary

Addresses

Primary practice location

3380 C St
Anchorage, AK 99503-3949

Mailing address

PO Box 45443
Salt Lake City, UT 84145-0443
Phone (904) 202-1032

Other names 1

  • Jennifer Lynn Cox Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161209001161 TX Practitioner - Physician Assistant 3779713292 Reassigns benefits to 2 organizations
I20190807001008 FL Practitioner - Physician Assistant 3779713292 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Aleutian Tribes, Inc.Group PAC ID 2860301884, 34 clinicians

Practice addresses (Care Compare)

172 Red Cove Rd
Sand Point, AK 99661-0172
Phone (907) 383-3151

2105 Main St
Adak, AK 99546-2105
Phone (907) 592-8383

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224185AKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Aleutian Tribes, Inc CurrentSince Oct 2, 2025 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Oct 24, 2022 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Oct 24, 2022 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Nov 4, 2016 Accepting new patients
Atlas Medical Alaska LLC PastSince Mar 1, 2024 Accepting new patients
Amelia Express Care, LLC Past Accepting new patients

Locations

3380 C St
Ste 100
Anchorage, AK 99503
Phone (907) 277-1440

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

3380 C St
Ste 107
Anchorage, AK 99503
Phone (907) 277-1440

1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

Organizations & group practices 10

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1578992434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45443",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841450443",
            "telephone_number": "904-202-1032",
            "fax_number": "904-376-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 C ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033949",
            "telephone_number": "907-277-1440",
            "fax_number": "907-277-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110539",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "224185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "COX",
            "middle_name": "LYNN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.