ABIGAIL L GRANATH (PA-C) – Physician Assistant, NPI 1053753236

ABIGAIL L GRANATH (PA-C) is a healthcare provider. based in Anchorage, Alaska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1098 (AK). The NPI Number for ABIGAIL L GRANATH (PA-C) is 1053753236

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ABIGAIL L GRANATH (PA-C)
NPI
1053753236
Phone
(907) 563-2662
Address
4315 DIPLOMACY DR
Enumeration Date
29 July 2013
Last Update Date
24 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9075632662
Graduation Year
2012 (14 years ago)
PAC ID
4688809312
Group Practice PAC ID
6709780265
Professional Enrollment ID
I20170517001220
Address ID
AK995085910AN4441XDRXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

553 PHYSICIAN ASSISTANT in AK

Provider Addresses for ABIGAIL L GRANATH (PA-C)

  • 4315 DIPLOMACY DR

    ANCHORAGE, AK 995085926

    Phone: (907) 563-2662

    Type: Mailing

  • 4100 LAKE OTIS PKWY

    SUITE 320

    ANCHORAGE, AK 995085229

    Phone: (907) 563-4810

    Fax: (907) 563-4811

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-05-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131104001794IPhysician AssistantAKTBD
I20170517001220IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes226177$0
99213Established patient office or other outpatient visit, 20-29 minutes5552$0
99204New patient office or other outpatient visit, 45-59 minutes2323$0
99212Established patient office or other outpatient visit, 10-19 minutes1313$0
99441Telephone medical discussion with physician, 5-10 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 99508)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709780265View full group profile
NameSpecialtyState
-AK
Anesthesiology, Pain ManagementTN
Internal MedicineNY
-AK
Diagnostic RadiologyNC
Nurse PractitionerAK
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YWA
Certified Nurse Midwife (Cnm)AK
-AK

Reviews

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Frequently asked questions

What is the standard ID for ABIGAIL L GRANATH (PA-C) in the U.S.?
In the U.S., ABIGAIL L GRANATH (PA-C) is identified by NPI 1053753236.
Should I treat ABIGAIL L GRANATH (PA-C) as an active provider?
Patients and plans typically see ABIGAIL L GRANATH (PA-C) as active in the national extract.
What does the directory say ABIGAIL L GRANATH (PA-C) does?
Insurance directories may phrase it differently, but here ABIGAIL L GRANATH (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ABIGAIL L GRANATH (PA-C)?
ABIGAIL L GRANATH (PA-C) is associated with Anchorage, Alaska in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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