MS. MARI C HATELY (MD) – Family Medicine Physician, NPI 1467447110

MS. MARI C HATELY (MD) is a healthcare provider. based in Anchorage, Alaska. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 5518 (AK). The NPI Number for MS. MARI C HATELY (MD) is 1467447110

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARI C HATELY (MD)
NPI
1467447110
Phone
(907) 729-8624
Address
4320 DIPLOMACY DR
Enumeration Date
19 September 2005
Last Update Date
6 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
9075634006
Graduation Year
2000 (26 years ago)
PAC ID
9234215500
Group Practice PAC ID
2961705520
Professional Enrollment ID
I20221028002525
Address ID
AK995085230AN4100XPKWY465
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Digital endpointsOther names

495 FAMILY PRACTICE in AK

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Provider Addresses for MS. MARI C HATELY (MD)

  • Yagheli Shesh Qenq’a Anchorage Native Primary Care Center, 4320, Diplomacy Drive, Anchorage, Alaska, 99508, United States

    ANCHORAGE, AK 995085925

    Phone: (907) 729-8624

    Type: Mailing

  • 3801 LAKE OTIS PKWY STE 300

    ANCHORAGE, AK 995085234

    Phone: (907) 562-2277

    Fax: (907) 563-3460

    Type: Location

  • 4100 Lake Otis Pkwy Ste 100

    Anchorage, AK 995085230

    Phone: (907) 646-2599

    Fax: (907) 646-2595

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $292.

Total Amount is formed as General ($292) + Research ($0) + Ownership ($0) = $292.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ABBVIE INC. ($75).

Total Amount

$292

General + Research + Ownership

Payments

14

Total payment records

General Amount

$292

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2022-10-28

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221028002525IFamily PracticeAKTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes10484$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen1514$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: 2961705520View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeAK
Physician AssistantAK
Orthopedic SurgeryAK
P O D I A T R YTX
Family PracticeWA
Nurse PractitionerAK
Physician AssistantAK
-AK
Family Practice, Osteopathic Manipulative MedicineAK
Pain Management, Physical Medicine And RehabilitationAK

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is MS. MARI C HATELY (MD) identified in CMS data?
CMS-hosted NPPES data lists MS. MARI C HATELY (MD) with NPI 1467447110.
Does CMS list MS. MARI C HATELY (MD) as active?
Yes — MS. MARI C HATELY (MD) is active in the NPI listing used on this page.
What is MS. MARI C HATELY (MD) best known for clinically?
Directory data describes MS. MARI C HATELY (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MS. MARI C HATELY (MD)?
MS. MARI C HATELY (MD)'s geographic hint is Anchorage, Alaska in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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