Individual provider Active NPI

Kristina M Smalley, PA

  • Medical Physician Assistant
  • Anchorage, AK
National Provider Identifier
1730386293
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
225667 Issued in AK
Practice address
2121 Abbott Rd Ste 101
Anchorage, AK 99507-4450
Phone
(907) 802-1497
Fax
(907) 339-8786
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 225667 AK Primary

Addresses

Primary practice location

2121 Abbott Rd Ste 101
Anchorage, AK 99507-4450

Mailing address

3801 Lake Otis Pkwy Ste 300
Anchorage, AK 99508-5234
Phone (907) 562-2277

Other practice location 1

4100 Lake Otis Pkwy Ste 322
Anchorage, AK 99508-5231
Phone (907) 562-1234

Other identifiers 1

IdentifierTypeStateIssuer
1749541MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241121003208 AK Practitioner - Physician Assistant 9537260740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christian Health AssociatesGroup PAC ID 7517950686, 12 clinicians
Orthoalaska LLCGroup PAC ID 2961705520, 167 clinicians

Practice addresses (Care Compare)

2121 Abbott Rd
Anchorage, AK 99507-4450
Phone (907) 522-7090

4100 Lake Otis Pkwy
Suite 322
Anchorage, AK 99508-5231
Phone (907) 562-1234

Hospital & facility affiliations

  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA002207PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Health Associates CurrentSince Nov 15, 2024 Accepting new patients
Christian Health Associates CurrentSince Nov 15, 2024 Accepting new patients
Focusedhealth PC PastSince Jun 9, 2024 Accepting new patients

Locations

2121 Abbott Rd
Ste 101
Anchorage, AK 99507
Phone (907) 522-7090

2121 Abbott Rd
Anchorage, AK 99507
Phone (907) 522-7080

2121 Abbott Rd
Ste 202
Anchorage, AK 99507
Phone (907) 522-7090

Organizations & group practices 5

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 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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1730386293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 LAKE OTIS PKWY STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085234",
            "telephone_number": "907-562-2277",
            "fax_number": "907-563-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 ABBOTT RD STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074450",
            "telephone_number": "907-802-1497",
            "fax_number": "907-339-8786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Lake Otis Pkwy Ste 322",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085231",
            "country_code": "US",
            "telephone_number": "907-562-1234",
            "fax_number": "907-646-2597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALLEY",
        "first_name": "KRISTINA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "225667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1749541",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.