NPIMap

Individual provider Active NPI

Loyal Shane Farley, DO

  • Emergency Medical Services (Emergency Medicine) Physician
  • Anchorage, AK
National Provider Identifier
1659930006
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
192430 Issued in AK
Practice address
786 D St
Anchorage, AK 99505-1023
Phone
(907) 384-6000
NPI assigned
Jun 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 192430 AK
General Practice Physician 208D00000X 192430 AK
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 192430 AK Primary

Addresses

Primary practice location

786 D St
Anchorage, AK 99505-1023

Mailing address

4076 Neely Road
Building 4076 Room 1B-201
Fort Wainwright, AK 99703-7440
Phone (907) 384-6000

Other practice location 1

950 E Bogard Rd Ste 103
Wasilla, AK 99654-7184
Phone (907) 352-2880

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address shane.farley.1@2839.direct.athenahealth.com
Direct Messaging Address shane.farley.2@2839.direct.athenahealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230628000029 AK Practitioner - Emergency Medicine 3375901002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rocky Vista University College of Osteopathic Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Native Tribal Health ConsortiumGroup PAC ID 6709780265, shared by 3 NPIs, 605 clinicians

Practice addresses (Care Compare)

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 563-2662

Hospital & facility affiliations

  • Mat-Su Regional Medical Center Hospital, Palmer, AK, CCN 020006
  • Alaska Native Medical Center Hospital, Anchorage, AK, CCN 020026

Merit-based Incentive Payment System (MIPS)

Final score
83.9 of 100Reported as group
Quality
76.07
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
192430AKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mat-Su Emergency Medicine Physicians Corp Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Mat Su Valley Medical Center LLC Past Accepting new patients

Locations

2500 S Woodworth Loop
Palmer, AK 99645
Phone (907) 861-6000

Interoperability endpoints

  • Direct secure messaging: shane.farley.2@2839.direct.athenahealth.com

Organizations & group practices 2

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1659930006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4076 NEELY ROAD",
            "address_2": "BUILDING 4076 ROOM 1B-201",
            "city": "FORT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997037440",
            "telephone_number": "907-384-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 D ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995051023",
            "telephone_number": "907-384-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 E Bogard Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547184",
            "country_code": "US",
            "telephone_number": "907-352-2880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "LOYAL",
        "middle_name": "SHANE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AK",
            "license": "192430",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AK",
            "license": "192430",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "AK",
            "license": "192430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shane.farley.1@2839.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "950 E Bogard Rd Ste 103",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996547184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shane.farley.2@2839.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "950 E Bogard Rd Ste 103",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996547184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.