Active NPI
Lucas Depasquale, PA-C
- Physician Assistant
- Bethel, AK
National Provider Identifier
1902629835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 234425
- Practice address
- 700 Chief Eddie Hoffman Hwy
Bethel, AK 99559-0528 - Phone
- (907) 543-6000
- NPI assigned
- Nov 7, 2024
- Last updated
- Jul 25, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-14835 | NC | |
| Physician Assistant | 363A00000X | 234425 | AK | Primary |
Addresses
Primary practice location
700 Chief Eddie Hoffman Hwy
Bethel, AK 99559-0528
Mailing address
PO Box 528
Bethel, AK 99559-0528
Phone (907) 543-6000
Other practice location 1
1244 Burkemont Ave
Morganton, NC 28655-4540
Phone (828) 439-0055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234425 | AK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Kentucky PLLC | Current | Accepting new patients | |
| Fast Pace Kentucky, PLLC | Current | Accepting new patients |
Locations
212 S Tryon St
Ste 100
Charlotte, NC 28281
Organizations & group practices 2
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.
-
dba Fast Pace Health
- Rural Health Clinic/Center
- Spindale, NC
- NPI 1942027891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1902629835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 528",
"city": "BETHEL",
"state": "AK",
"postal_code": "995590528",
"telephone_number": "907-543-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CHIEF EDDIE HOFFMAN HWY",
"city": "BETHEL",
"state": "AK",
"postal_code": "995590528",
"telephone_number": "907-543-6000"
}
],
"practiceLocations": [
{
"address_1": "1244 Burkemont Ave",
"address_purpose": "LOCATION",
"city": "Morganton",
"state": "NC",
"postal_code": "286554540",
"country_code": "US",
"telephone_number": "828-439-0055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEPASQUALE",
"first_name": "LUCAS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-07",
"last_updated": "2025-07-25",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-14835",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AK",
"license": "234425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethel, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.