Individual provider Active NPI

Rachel Goldberger, PAC

  • Surgical Physician Assistant
  • Anchorage, AK
National Provider Identifier
1760872121
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2387 Issued in AK
Practice address
2741 Debarr Rd Ste C402
Anchorage, AK 99508-2980
Phone
(907) 276-3676
NPI assigned
Jan 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2387 AK Primary

Addresses

Primary practice location

2741 Debarr Rd Ste C402
Anchorage, AK 99508-2980

Mailing address

2741 Debarr Rd Ste C402
Anchorage, AK 99508-2980
Phone (907) 276-3676

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150324002886 AK Practitioner - Physician Assistant 2769709104 Reassigns benefits to 4 organizations
I20190409003263 TX Practitioner - Physician Assistant 2769709104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Anchorage Neighborhood Health Center IncGroup PAC ID 0941107288, 44 clinicians

Practice addresses (Care Compare)

10928 Eagle River Rd
Eagle River, AK 99577-8078
Phone (907) 694-8085

4951 Business Park Blvd
Anchorage, AK 99503-7174
Phone (907) 743-7200

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
2387AKMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Mar 1, 2019 Accepting new patients
Anchorage Neighborhood Health Center Inc CurrentSince May 6, 2019 Accepting new patients
Anchorage Neighborhood Health Center, Inc. CurrentSince May 6, 2019 Accepting new patients
Alaska Imaging Associates, LLC Past Accepting new patients

Locations

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

4951 Business Park Blvd
Anchorage, AK 99503
Phone (907) 743-7200

Interoperability endpoints

  • Direct secure messaging: rachel.goldberger.1@15729.direct.athenahealth.com
  • Direct secure messaging: rachel.goldberger.1@20726.direct.athenahealth.com

Organizations & group practices 7

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": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1760872121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C402",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082980",
            "telephone_number": "907-276-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C402",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082980",
            "telephone_number": "907-276-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERGER",
        "first_name": "RACHEL",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AK",
            "license": "2387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.