Individual provider Active NPI

Jennifer Wingate, MD

  • Otolaryngology Physician
  • Anchorage, AK
National Provider Identifier
1740299924
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4986 Issued in AK
Practice address
3730 Rhone Cir
Suite 203
Anchorage, AK 99508-5051
Phone
(907) 563-3515
Fax
(907) 563-3541
NPI assigned
Aug 5, 2006
Last updated
Dec 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 4986 AK Primary
Pediatric Otolaryngology Physician 207YP0228X 4986 AK

Addresses

Primary practice location

3730 Rhone Cir
Suite 203
Anchorage, AK 99508-5051

Mailing address

3730 Rhone Cir
Suite 203
Anchorage, AK 99508-5051
Phone (907) 563-3515

Other identifiers 1

IdentifierTypeStateIssuer
MD09191MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100603000242 AK Practitioner - Otolaryngology 3678602489 Reassigns benefits to 1 organization
I20190828000496 TX Practitioner - Otolaryngology 3678602489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Washington School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Specialists Alaska, IncGroup PAC ID 6204848294, 12 clinicians

Practice addresses (Care Compare)

3831 Piper St
Suite S433
Anchorage, AK 99508-6900
Phone (907) 561-1471

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4986AKMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Jul 15, 2019 Accepting new patients
Ear, Nose and Throat Specialists Alaska, Inc. CurrentSince Nov 1, 2017 Accepting new patients
Geneva Woods Ear, Nose and Throat Associates, Inc. Otolaryngology PastSince Aug 1, 2001 Accepting new patients

Locations

3730 Rhone Cir
Ste 203
Anchorage, AK 99508
Phone (907) 563-3515

3801 University Lake Dr
Anchorage, AK 99508
Phone (907) 563-8876

3831 Piper St
Ste S433
Anchorage, AK 99508
Phone (907) 561-1421

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

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

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, 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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1740299924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 RHONE CIR",
            "address_2": "SUITE 203",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085051",
            "telephone_number": "907-563-3515",
            "fax_number": "907-563-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 RHONE CIR",
            "address_2": "SUITE 203",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085051",
            "telephone_number": "907-563-3515",
            "fax_number": "907-563-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGATE",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AK",
            "license": "4986",
            "primary": true
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "AK",
            "license": "4986",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD09191",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.