KATHLEEN S NUTTLE (PA-C) – Medical Physician Assistant, NPI 1356349005
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
551 PHYSICIAN ASSISTANT in AK
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Provider Addresses for KATHLEEN S NUTTLE (PA-C)
3801 LAKE OTIS PKWY STE 300
ANCHORAGE, AK 995085234
Phone: (907) 562-2277
Fax: (907) 563-3460
Type: Mailing
Lake Otis Parkway, Anchorage, Alaska, 99508, United States
SUITE 300
ANCHORAGE, AK 995085234
Phone: (907) 562-2277
Fax: (907) 563-3460
Type: Location
3125 E Meridian Park Loop Ste 300
Wasilla, AK 996547528
Phone: (907) 562-2277
Fax: (907) 563-3460
Type: Location
13015 Old Glenn Hwy Ste 100
Eagle River, AK 995777572
Phone: (907) 562-2277
Fax: (907) 563-3460
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $14 |
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: 2012-05-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120509000725 | I | Physician Assistant | AK | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 228 | 200 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 120 | 120 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 74 | 72 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 54 | 54 | $0 |
| 73564 | X-ray of knee, 4 or more views | 49 | 47 | $0 |
Insurance plans in this area (ZIP 99508)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | AK | 20610 | Aspiration and/or injection of large joint or joint capsule | 37 | 35 |
| PHYSICIAN ASSISTANT | AK | 73110 | X-ray of wrist, minimum of 3 views | 24 | 18 |
| PHYSICIAN ASSISTANT | AK | 73562 | X-ray of knee, 3 views | 59 | 54 |
| PHYSICIAN ASSISTANT | AK | 73630 | X-ray of foot, minimum of 3 views | 24 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | AK | |
| Physician Assistant | AK | |
| Orthopedic Surgery | AK | |
| P O D I A T R Y | TX | |
| Family Practice | WA | |
| Nurse Practitioner | AK | |
| Physician Assistant | AK | |
| - | AK | |
| Family Practice, Osteopathic Manipulative Medicine | AK | |
| Pain Management, Physical Medicine And Rehabilitation | AK |
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