Individual provider Active NPI

Kendra Isbell, PA-C

  • Physician Assistant
  • Anchorage, AK
National Provider Identifier
1851613020
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
881 Issued in AK
Practice address
5630 Silverado Way
Ste 7
Anchorage, AK 99518-1689
Phone
(907) 561-1195
NPI assigned
Feb 15, 2010
Last updated
Nov 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 881 AK Primary

Addresses

Primary practice location

5630 Silverado Way
Ste 7
Anchorage, AK 99518-1689

Mailing address

5630 Silverado Way
Ste 7
Anchorage, AK 99518-1689
Phone (907) 260-7729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VT2 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
I20160613000728 MA Practitioner - Physician Assistant 3870883325 Reassigns benefits to 1 organization
I20170201000302 VT Practitioner - Physician Assistant 3870883325 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Berkshire Medical PCGroup PAC ID 4183907603, 6 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Bennington, VT 05201-5004
Phone (802) 442-6361

120 Hospital Dr
Bennington, VT 05201-5002
Phone (802) 440-4077

140 Hospital Dr
Bennington, VT 05201-5010

332 Dewey St
Bennington, VT 05201-2225
Phone (802) 442-6314

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
881AKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Vermont Medical Center, Inc CurrentSince Jan 3, 2017 Accepting new patients
Southwestern Vermont Medical Center, Inc CurrentSince Sep 1, 2025 Accepting new patients

Locations

100 Hospital Dr
Bennington, VT 05201
Phone (802) 447-4509

100 Hospital Dr
#44
Bennington, VT 05201
Phone (802) 442-4509

120 Hospital Dr
Bennington, VT 05201
Phone (802) 440-4077

140 Hospital Dr
Ste 116
Bennington, VT 05201
Phone (802) 447-1836

140 Hospital Dr
Ste 205
Bennington, VT 05201
Phone (802) 447-2677

332 Dewey St
Bennington, VT 05201
Phone (802) 442-2034

Interoperability endpoints

  • Direct secure messaging: kendra.isbell.1@3744.direct.athenahealth.com

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, 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": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1851613020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5630 SILVERADO WAY",
            "address_2": "STE 7",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181689",
            "telephone_number": "907-260-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 SILVERADO WAY",
            "address_2": "STE 7",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181689",
            "telephone_number": "907-561-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISBELL",
        "first_name": "KENDRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-15",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.