Individual provider Active NPI

Kelly Powers

  • Diagnostic Radiology Physician
  • Palmer, AK
National Provider Identifier
1992923155
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
7028 Issued in AK
Practice address
2280 S Woodworth Loop
Palmer, AK 99645-7412
Phone
(907) 746-4646
Fax
(907) 746-4653
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 7028 AK Primary

Addresses

Primary practice location

2280 S Woodworth Loop
Palmer, AK 99645-7412

Mailing address

2280 S Woodworth Loop
Palmer, AK 99645-7412
Phone (907) 746-4646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110221000688 AK Practitioner - Diagnostic Radiology 1759433238 Reassigns benefits to 7 organizations
I20200106002118 TX Practitioner - Diagnostic Radiology 1759433238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Oregon Health Sciences University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breast Cancer Detection Center of Alaska and Charitable Corporation 5 clinicians
Alaska Imaging Associates LLC 27 clinicians
Alyeska Imaging Center, Inc. 9 clinicians
Bristol Bay Area Health Corporation 114 clinicians
Cordova Community Medical Center 17 clinicians

Practice addresses (Care Compare)

1905 Cowles St
Fairbanks, AK 99701-5914
Phone (907) 479-3909

2110 E Northern Lights Blvd
Anchorage, AK 99508-4154
Phone (907) 644-2997

2480 S Woodworth Loop
Suite 140
Palmer, AK 99645-7408
Phone (907) 746-2929

6000 Kanakanak Rd
Dillingham, AK 99576-0130
Phone (907) 842-5201

602 Chase Ave
Cordova, AK 99574-0559
Phone (907) 424-8000

P O Box
Dillingham, AK 99576-0130

PO Box
Suite 130
Dillingham, AK 99576-0130
Phone (907) 842-5201

Hospital & facility affiliations

  • Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017
  • Bristol Bay Dba Kanakanak Hospital Hospital, Dillingham, AK, CCN 021309
  • Mat-Su Regional Medical Center Hospital, Palmer, AK, CCN 020006
  • Bartlett Regional Hospital Hospital, Juneau, AK, CCN 020008
  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Merit-based Incentive Payment System (MIPS)

Final score
86.88 of 100Reported as group
Quality
80
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.62 of 100Reported as group
Quality
52.98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7028AKMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cordova Community Medical Center CurrentSince Apr 15, 2023 Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Oct 19, 2019 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
McKinley Imaging, LLC Diagnostic Radiology CurrentSince Apr 13, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
South Peninsula Hospital, Inc. Diagnostic Radiology CurrentSince Apr 25, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Valley Upright Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Breast Cancer Detection Center of Alaska and Charitable Corporation CurrentSince Nov 13, 2020 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
South Peninsula Hospital, Inc CurrentSince Apr 25, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Medical Park Family Care, LLC CurrentSince Oct 26, 2020 Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Oct 19, 2019 Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Anchorage Imaging Center LLC Diagnostic Radiology CurrentSince Jun 6, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Alyeska Imaging Center, Inc. Diagnostic Radiology CurrentSince Aug 15, 2022 Accepting new patients
Rhode Island Medical Imaging Inc Diagnostic Radiology PastSince Jun 26, 2022 Accepting new patients
Imaging Associates, LLC Diagnostic Radiology Past Accepting new patients
Alaska Radiology Associates Inc Past Accepting new patients
Rhode Island Medical Imaging Inc Diagnostic Radiology Past Accepting new patients
Radiology Services of Alaska Inc. Diagnostic Radiology Past Accepting new patients
Bristol Bay Area Health Corporation Past Accepting new patients
Bristol Bay Area Health Corporation Past Accepting new patients

Locations

2211 E Northern Lights Blvd
Anchorage, AK 99508
Phone (907) 257-8176

2110 E Northern Lights Blvd
Ste 101
Anchorage, AK 99508
Phone (907) 336-2273

3745 Geist Rd
Fairbanks, AK 99709
Phone (907) 456-1112

1905 Cowles St
Fairbanks, AK 99701
Phone (907) 479-2663

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

2480 S Woodworth Loop
Ste 140
Palmer, AK 99645
Phone (907) 746-2929

3765 E Blue Lupine Dr
Ste B
Wasilla, AK 99654

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/cordova-527880fe

Organizations & group practices 39

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.

View all 39

Hospital & facility affiliations 7

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1992923155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 S WOODWORTH LOOP",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457412",
            "telephone_number": "907-746-4646",
            "fax_number": "907-746-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 S WOODWORTH LOOP",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457412",
            "telephone_number": "907-746-4646",
            "fax_number": "907-746-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AK",
            "license": "7028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

Verify at the official NPI Registry.