Individual provider Active NPI

Jackson Rucker Staggers, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Anchorage, AK
National Provider Identifier
1972097756
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
237692 Issued in AK
Practice address
3801 Lake Otis Pkwy Ste 300
Anchorage, AK 99508-5234
Phone
(907) 562-2277
Fax
(907) 563-3460
NPI assigned
Jun 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 237692 AK Primary
Orthopaedic Surgery Physician 207X00000X 237692 AK

Addresses

Primary practice location

3801 Lake Otis Pkwy Ste 300
Anchorage, AK 99508-5234

Mailing address

3801 Lake Otis Pkwy Ste 300
Anchorage, AK 99508-5234
Phone (907) 562-2277

Other practice location 1

3125 E Meridian Park Loop Ste 300
Wasilla, AK 99654-7528
Phone (907) 562-2277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250806004098 AK Practitioner - Orthopedic Surgery 8426392804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Alabama School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Orthoalaska LLCGroup PAC ID 2961705520, 167 clinicians

Practice addresses (Care Compare)

10928 Eagle River Rd
Eagle River, AK 99577-8078
Phone (907) 694-8085

3125 E Meridian Park Loop
Suite 300
Wasilla, AK 99654-7528
Phone (907) 357-2267

Hospital & facility affiliations

  • Mat-Su Regional Medical Center Hospital, Palmer, AK, CCN 020006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
237692AKMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoalaska LLC CurrentSince Sep 1, 2025 Accepting new patients
Orthoalaska, LLC Orthopaedic Surgery CurrentSince Sep 1, 2025 Accepting new patients
Orthoalaska, LLC Orthopaedic Surgery Past Accepting new patients
Orthoalaska LLC PastSince Jan 21, 2024 Accepting new patients

Locations

3801 Lake Otis Pkwy
Ste 300
Anchorage, AK 99508
Phone (907) 341-5238

13015 Old Glenn Hwy
Ste 100
Eagle River, AK 99577

3125 E Meridian Park Loop
Ste 300
Wasilla, AK 99654
Phone (907) 357-2267

3125 E Meridian Park Loop
Ste 150
Wasilla, AK 99654
Phone (907) 864-5025

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jackson.staggers.p1@direct.opaak.nextgenshare.com

Organizations & group practices 4

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1972097756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 LAKE OTIS PKWY STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085234",
            "telephone_number": "907-562-2277",
            "fax_number": "907-563-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 LAKE OTIS PKWY STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085234",
            "telephone_number": "907-562-2277",
            "fax_number": "907-563-3460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3125 E Meridian Park Loop Ste 300",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547528",
            "country_code": "US",
            "telephone_number": "907-562-2277",
            "fax_number": "907-563-3460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAGGERS",
        "first_name": "JACKSON",
        "middle_name": "RUCKER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-15",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AK",
            "license": "237692",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AK",
            "license": "237692",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.