NPIMap

Individual provider Active NPI

Lori C Hamilton, PA-C

  • Physician Assistant
  • Tooele, UT
National Provider Identifier
1912338872
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10332057-1206 Issued in UT
Practice address
1373 E Cassity Dr
Tooele, UT 84074-4107
Phone
(907) 947-6765
NPI assigned
Dec 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1659 NV
Physician Assistant 363A00000X 10332057-1206 UT Primary

Addresses

Primary practice location

1373 E Cassity Dr
Tooele, UT 84074-4107

Mailing address

1373 E Cassity Dr
Tooele, UT 84074-4107
Phone (907) 947-6765

Other practice location 1

508 Upland St
Kenai, AK 99611-8026
Phone (907) 335-7500

Other identifiers 3

IdentifierTypeStateIssuer
10332057-1206OtherUTLICENSE
1603011MedicaidAK
1912338872MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, TX2 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
I20200722001810 UT Practitioner - Physician Assistant 8426289380 Reassigns benefits to 2 organizations
I20240911003152 TX Practitioner - Physician Assistant 8426289380 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3900 Ambassador Dr
Anchorage, AK 99508-5922
Phone (907) 563-2662

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
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1158AKMDGynecology Physician
PA1659NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kenaitze Indian Tribe CurrentSince May 21, 2023 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Feb 7, 2025 Accepting new patients
Southcentral Foundation CurrentSince Feb 7, 2025 Accepting new patients
Southcentral Foundation CurrentSince Feb 7, 2025 Accepting new patients
Kenaitze Indian Tribe Current Accepting new patients

Locations

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

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

508 Upland St
Kenai, AK 99611
Phone (907) 335-7300

Interoperability endpoints

  • Direct secure messaging: lchamilton@direct.kenaitze.org

Organizations & group practices 9

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1912338872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 E CASSITY DR",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840744107",
            "telephone_number": "907-947-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 E CASSITY DR",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840744107",
            "telephone_number": "907-947-6765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Upland St",
            "address_purpose": "LOCATION",
            "city": "Kenai",
            "state": "AK",
            "postal_code": "996118026",
            "country_code": "US",
            "telephone_number": "907-335-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "LORI",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1659",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "10332057-1206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "10332057-1206",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1603011",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912338872",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

Verify at the official NPI Registry.