NPIMap

Organization Active NPI

Alaska Trauma & Acute Care Surgery, LLC

  • Surgery Physician
  • Anchorage, AK
National Provider Identifier
1982047437
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
984564 Issued in AK
Legal business name
ALASKA TRAUMA & ACUTE CARE SURGERY, LLC
Practice address
3220 Providence Dr Ste E3-080
Anchorage, AK 99508-4657
Phone
(907) 375-8785
Fax
(907) 375-8788
NPI assigned
Apr 15, 2013
Last updated
Jul 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Cinderella Tollefsen
Title
Executive Director
Phone
(907) 375-8785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 984564 AK Primary

Addresses

Primary practice location

3220 Providence Dr Ste E3-080
Anchorage, AK 99508-4657

Mailing address

PO Box 200667
Anchorage, AK 99520-0667
Phone (907) 375-8785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131009000258 AK Part B Supplier - Clinic/Group Practice 4880828797 Receives reassigned benefits from 15 practitioners
Practice locations: Anchorage, AK; Wasilla, AK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
02D2238336Alaska Trauma & Acute Care Surgery3220 Providence Dr, Ste E3-080, Anchorage, AK 99508Certificate of waiverOct 1, 2027

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3220 Providence Dr
Ste E3
Anchorage, AK 99508
Phone (907) 770-3750

3543 E Meridian Park Loop
Ste A
Wasilla, AK 99654
Phone (907) 357-4543

Interoperability endpoints

  • Direct secure messaging: calebeuhus@atacs.allscriptsdirect.net
  • Direct secure messaging: carolynmajors@atacs.allscriptsdirect.net
  • Direct secure messaging: catherineanne@atacs.allscriptsdirect.net
  • Direct secure messaging: catherineannemorrison@atacs.allscriptsdirect.net
  • Direct secure messaging: davidwrigley@atacs.allscriptsdirect.net
  • Direct secure messaging: gregsternquist@atacs.allscriptsdirect.net
  • Direct secure messaging: jaimesonhatch@atacs.allscriptsdirect.net
  • Direct secure messaging: jeremyhatch@atacs.allscriptsdirect.net
  • Direct secure messaging: jongrace@atacs.allscriptsdirect.net
  • Direct secure messaging: julianrojas@atacs.allscriptsdirect.net
  • Direct secure messaging: junegeorge@atacs.allscriptsdirect.net
  • Direct secure messaging: katherinesenter@atacs.allscriptsdirect.net
  • Direct secure messaging: sarahsatow@atacs.allscriptsdirect.net
  • Direct secure messaging: stevenfloerchinger@atacs.allscriptsdirect.net
  • Direct secure messaging: thomasknolmayer@atacs.allscriptsdirect.net
  • Direct secure messaging: thomaslalor@atacs.allscriptsdirect.net
  • Direct secure messaging: williambergeron@atacs.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1982047437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200667",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995200667",
            "telephone_number": "907-375-8785",
            "fax_number": "907-375-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 PROVIDENCE DR STE E3-080",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084657",
            "telephone_number": "907-375-8785",
            "fax_number": "907-375-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA TRAUMA & ACUTE CARE SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-15",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "TOLLEFSEN",
        "authorized_official_first_name": "CINDERELLA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-375-8785"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AK",
            "license": "984564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.