NPIMap

Individual provider Active NPI

Ciara Jordan Stoutenburgh, PA-C

  • Medical Physician Assistant
  • Anchorage, AK
National Provider Identifier
1902140130
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
200275 Issued in AK
Practice address
3851 Piper St Ste U466
Anchorage, AK 99508-6905
Phone
(907) 569-1333
Fax
(907) 569-1433
NPI assigned
Nov 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Medical Physician Assistant 363AM0700X 200275 AK Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3851 Piper St Ste U466
Anchorage, AK 99508-6905

Mailing address

3851 Piper St Ste U466
Anchorage, AK 99508-6905
Phone (907) 569-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230111001802 TX Practitioner - Physician Assistant 8224408026 Reassigns benefits to 2 organizations
I20260219000748 AK Practitioner - Physician Assistant 8224408026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alaska Digestive and Liver Disease, LLCGroup PAC ID 2264857473, 2 clinicians

Practice addresses (Care Compare)

3851 Piper St
Suite U466
Anchorage, AK 99508-6905
Phone (907) 569-1333

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 563-2662

4320 Diplomacy Dr
Anchorage, AK 99508-5925
Phone (907) 265-4955

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
70.1
Promoting interoperability
100
Improvement activities
40
Cost
83.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200275AKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Dec 1, 2022 Accepting new patients
Alaska Digestive and Liver Disease, LLC CurrentSince Feb 1, 2026 Accepting new patients
Southcentral Foundation CurrentSince Dec 1, 2022 Accepting new patients
Southcentral Foundation Past Accepting new patients

Locations

3851 Piper St
Ste U466
Anchorage, AK 99508
Phone (800) 788-7465

7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000

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

4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000

17101 Snowmobile Ln
Ste 204
Eagle River, AK 99577
Phone (907) 569-1333

Interoperability endpoints

  • Direct secure messaging: cstoutenburgh@direct.scf.cc
  • FHIR API: https://fhir4.healow.com/fhir/r4/HAFECA

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1902140130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 PIPER ST STE U466",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086905",
            "telephone_number": "907-569-1333",
            "fax_number": "907-569-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 PIPER ST STE U466",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086905",
            "telephone_number": "907-569-1333",
            "fax_number": "907-569-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUTENBURGH",
        "first_name": "CIARA",
        "middle_name": "JORDAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-09",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "200275",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.