Individual provider Active NPI

Alexander Kryvenia, PA-C

  • Medical Physician Assistant
  • Anchorage, AK
National Provider Identifier
1700160827
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1200 W Northern Lights Blvd
Anchorage, AK 99503-3652
Phone
(907) 212-5165
Fax
(907) 212-0950
NPI assigned
Oct 7, 2011
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 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 PAC0967 ND
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

1200 W Northern Lights Blvd
Anchorage, AK 99503-3652

Mailing address

1200 W Northern Lights Blvd
Anchorage, AK 99503-3652

Other practice location 1

10 Missile Ave
Minot AFB, ND 58705-5003
Phone (701) 723-5133

Other practice location 2

400 Burdick Expy E
Minot, ND 58701-4768
Phone (701) 857-7817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, OR2 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
I20240311000735 AK Practitioner - Physician Assistant 6901042340 Reassigns benefits to 3 organizations
I20240719001284 OR Practitioner - Physician Assistant 6901042340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Express Care Or PCGroup PAC ID 1254768732, 60 clinicians
Express Care Ak LLCGroup PAC ID 2163855032, 16 clinicians
Express Care Wa PCGroup PAC ID 6800128067, 64 clinicians

Practice addresses (Care Compare)

1118 N Muldoon Rd
Suite 130
Anchorage, AK 99504-6110
Phone (888) 227-3312

1200 W Northern Lights Blvd
Suite B
Anchorage, AK 99503-3652
Phone (907) 212-5165

17101 Snowmobile LN
Suite 114
Eagle River, AK 99577-7043
Phone (888) 227-3312

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.78 of 100Reported as group
Quality
92.1
Improvement activities
40
Cost
80.43

Merit-based Incentive Payment System (MIPS)

Final score
86.88 of 100Reported as group
Quality
80.34
Promoting interoperability
98
Improvement activities
40
Cost
77.59

Merit-based Incentive Payment System (MIPS)

Final score
89.49 of 100Reported as group
Quality
86.28
Promoting interoperability
100
Improvement activities
40
Cost
78.7

Merit-based Incentive Payment System (MIPS)

Final score
81.05 of 100Reported as group
Quality
60.57
Promoting interoperability
98
Improvement activities
40
Cost
77.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2135OKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Express Care Ak LLC PastSince Apr 19, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1700160827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W NORTHERN LIGHTS BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W NORTHERN LIGHTS BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033652",
            "telephone_number": "907-212-5165",
            "fax_number": "907-212-0950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Missile Ave",
            "address_purpose": "LOCATION",
            "city": "Minot AFB",
            "state": "ND",
            "postal_code": "587055003",
            "country_code": "US",
            "telephone_number": "701-723-5133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Burdick Expy E",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587014768",
            "country_code": "US",
            "telephone_number": "701-857-7817",
            "fax_number": "701-857-7013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRYVENIA",
        "first_name": "ALEXANDER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-07",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC0967",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.