KATHLEEN S NUTTLE PA-C NPI 1356349005

NPI Information

  • NPI: 1356349005
  • Provider Name: KATHLEEN S NUTTLE, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3801 LAKE OTIS PKWY
    SUITE 300
    ANCHORAGE, AK
    ZIP 99508
  • Phone: (907) 562-2277

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NPI Details

Kathleen S Nuttle, PA-C is a medical physician assistant in Anchorage, AK with 24 years of experience. Kathleen S Nuttle, PA-C NPI is 1356349005. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3801 LAKE OTIS PKWY
SUITE 300
ANCHORAGE, AK
ZIP 99508-234
Phone: (907) 562-2277
Fax: (907) 563-3460

The NPI 1356349005 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of knee, 3 views (HCPCS:73562)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)

The enumeration date for this NPI number is 7/7/2005 and was last updated on 1/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPADA1037ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11578399MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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