NPIMap

Individual provider Active NPI

Pamela Lee Rogers, FNP-BC

  • Family Nurse Practitioner
  • Soldotna, AK
National Provider Identifier
1912370347
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9283145 Issued in FL
Practice address
240 Hospital PL Ste 305
Soldotna, AK 99669-7559
Phone
(907) 714-4130
Fax
(844) 412-3946
NPI assigned
Nov 6, 2015
Last updated
May 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9283145 FL Primary

Addresses

Primary practice location

240 Hospital PL Ste 305
Soldotna, AK 99669-7559

Mailing address

2960 Tongass Ave
Ketchikan, AK 99901-5742
Phone (907) 228-4900

Other practice location 1

2960 Tongass Ave
Ketchikan, AK 99901-5742
Phone (907) 228-4900

Other identifiers 1

IdentifierTypeStateIssuer
016188500MedicaidFL

Other names 1

  • Pamela Lee Stickland Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address PROGERS2827507@AK.PROVIDENCEDIRECT.ORG
Direct Messaging Address PROGERS2827507@AK.PROVIDENCEDIRECT.ORG

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
I20161228001814 TX Practitioner - Nurse Practitioner 2365743929 Reassigns benefits to 1 organization
I20220721002057 AK Practitioner - Nurse Practitioner 2365743929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

240 Hospital PL
Soldotna, AK 99669-7559
Phone (907) 262-7795

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.44 of 100Reported as group
Quality
62.56
Promoting interoperability
81
Improvement activities
40
Cost
67.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Network of Alaska, LLC CurrentSince Jul 1, 2022 Accepting new patients
North Star Medical Imaging PLLC Current Accepting new patients
Central Peninsula General Hospital, Inc CurrentSince Jun 1, 2023 Accepting new patients
Medical Network of Alaska, LLC Current Accepting new patients
Central Peninsula General Hospital Inc. Current Accepting new patients
Medical Network of Alaska, LLC Current Accepting new patients
Central Peninsula General Hospital Inc CurrentSince Jun 1, 2023 Accepting new patients
Medical Network of Alaska, LLC CurrentSince Jul 1, 2022 Accepting new patients
Central Peninsula General Hospital Inc Past Accepting new patients

Locations

240 Hospital Pl
Soldotna, AK 99669
Phone (907) 262-7762

240 Hospital Pl
Ste 305
Soldotna, AK 99669
Phone (907) 714-4130

250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404

3122 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 864-4625

3331 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 357-2332

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27294/brand/1/csg/1/fhir/r4
  • Direct secure messaging: pamela.rogers.p1@direct.crossroadmc.nextgenshare.com
  • Direct secure messaging: progers2827507@ak.providencedirect.org

Organizations & group practices 10

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1912370347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 TONGASS AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015742",
            "telephone_number": "907-228-4900",
            "fax_number": "800-852-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HOSPITAL PL STE 305",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697559",
            "telephone_number": "907-714-4130",
            "fax_number": "844-412-3946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2960 Tongass Ave",
            "address_purpose": "LOCATION",
            "city": "Ketchikan",
            "state": "AK",
            "postal_code": "999015742",
            "country_code": "US",
            "telephone_number": "907-228-4900",
            "fax_number": "800-852-3264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "PAMELA",
        "middle_name": "LEE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9283145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016188500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PROGERS2827507@AK.PROVIDENCEDIRECT.ORG",
            "affiliation": "N",
            "endpointDescription": "Provider direct messaging address",
            "address_1": "240 Hospital Pl Ste 305",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996697559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PROGERS2827507@AK.PROVIDENCEDIRECT.ORG",
            "affiliation": "N",
            "endpointDescription": "Provider direct messaging address",
            "address_1": "240 Hospital Pl Ste 305",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996697559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "STICKLAND",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Soldotna, AK

Sources for this page

Verify at the official NPI Registry.