NPIMap

Individual provider Active NPI

Robert Vernon McRorie Jr.

  • Physician Assistant
  • Kenai, AK
National Provider Identifier
1972906899
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
10543 Kenai Spur Hwy
Kenai, AK 99611-7812
Phone
(907) 283-9118
NPI assigned
Oct 6, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

10543 Kenai Spur Hwy
Kenai, AK 99611-7812

Mailing address

10543 Kenai Spur Hwy
Kenai, AK 99611-7812
Phone (907) 283-9118

Other identifiers 1

IdentifierTypeStateIssuer
2382MedicaidAK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170920003920 AK Practitioner - Physician Assistant 5991078016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

43335 Kalifornsky Beach Rd
Suite 18
Soldotna, AK 99669-8250
Phone (907) 262-9993

Hospital & facility affiliations

  • Kenai Peninsula Home Health, LLC Home health agency, Soldotna, AK, CCN 027038
  • Central Peninsula General Hospital Hospital, Soldotna, AK, CCN 020024

Merit-based Incentive Payment System (MIPS)

Final score
26.68 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
88.92

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: kbeachmedicalinc.robertmcrorie@136876.advancedmd-direct.com

Organizations & group practices 1

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1972906899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10543 KENAI SPUR HWY",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117812",
            "telephone_number": "907-283-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10543 KENAI SPUR HWY",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117812",
            "telephone_number": "907-283-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRORIE",
        "first_name": "ROBERT",
        "middle_name": "VERNON",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2382",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenai, AK

Sources for this page

Verify at the official NPI Registry.