NPIMap

Individual provider Active NPI

Jerry Ross Tanner II, D.O.

  • Endocrinology, Diabetes & Metabolism Physician
  • Anchorage, AK
National Provider Identifier
1962580480
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
5561 Issued in AK
Practice address
2841 Debarr Rd Ste 43
Anchorage, AK 99508-2967
Phone
(907) 274-7847
Fax
(907) 274-7845
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 5561 AK Primary

Addresses

Primary practice location

2841 Debarr Rd Ste 43
Anchorage, AK 99508-2967

Mailing address

2841 Debarr Rd Ste 43
Anchorage, AK 99508-2967
Phone (907) 274-7847

Other names 1

  • J. Ross Tanner II Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, CO2 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
I20081023000349 AK Practitioner - Internal MedicinePractitioner - Other (Physician) 8224020045 Reassigns benefits to 2 organizations
I20220106002886 CO Practitioner - Internal Medicine 8224020045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Salida Hospital DistrictGroup PAC ID 3577451152, shared by 9 NPIs, 100 clinicians
Odyssey Family PracticeGroup PAC ID 3476989062, 5 clinicians

Practice addresses (Care Compare)

1000 Rush Dr
Salida, CO 81201-9627
Phone (719) 530-2477

11595 Kenai Spur Hwy
Kenai, AK 99611-7757
Phone (907) 283-8300

Hospital & facility affiliations

  • Heart of the Rockies Regional Medical Center Hospital, Salida, CO, CCN 061322
  • South Peninsula Hospital Hospital, Homer, AK, CCN 021313
  • Central Peninsula General Hospital Hospital, Soldotna, AK, CCN 020024
  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Merit-based Incentive Payment System (MIPS)

Final score
75.69 of 100Reported as group
Quality
71.4
Improvement activities
40

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
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5561AKMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Odyssey Family Practice CurrentSince Jul 1, 2025 Accepting new patients
South Peninsula Hospital, Inc. CurrentSince Feb 26, 2005 Accepting new patients
Odyssey Urgent Care and Occupational Health CurrentSince Jul 1, 2025 Accepting new patients
South Peninsula Hospital, Inc CurrentSince Feb 26, 2005 Accepting new patients
Salida Hospital District CurrentSince Dec 1, 2021 Accepting new patients
Salida Hospital District CurrentSince Dec 1, 2021 Accepting new patients
Salida Hospital District Current Accepting new patients
Olympia Internal Medicine Assoc.,LLC PastSince Jul 1, 1999 Accepting new patients

Locations

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

11595 Kenai Spur Hwy
Kenai, AK 99611
Phone (907) 313-4569

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIHGBD
  • Direct secure messaging: drtanner@hrrmcmedicalclinics.ssdirect.aprima.com

Organizations & group practices 8

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1962580480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 DEBARR RD STE 43",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082967",
            "telephone_number": "907-274-7847",
            "fax_number": "907-274-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 DEBARR RD STE 43",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082967",
            "telephone_number": "907-274-7847",
            "fax_number": "907-274-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "JERRY",
        "middle_name": "ROSS",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AK",
            "license": "5561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J.",
            "last_name": "TANNER",
            "middle_name": "ROSS",
            "suffix": "II",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.