CIARA JORDAN STOUTENBURGH PA-C - NPI 1902140130 - Physician Assistant in Anchorage, AK

Q: What is Ciara Stoutenburgh's NPI number?

The NPI number for Ciara Stoutenburgh is 1902140130. It was assigned to this individual provider in the NPPES registry on November 9, 2012.

Q: What is Ciara Stoutenburgh's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

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About Ciara Jordan Stoutenburgh Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CIARA JORDAN STOUTENBURGH PA-C (NPI 1902140130) is an individual medical provider in Anchorage, Alaska, licensed in Alaska (200275) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2022).

NPPES Registry Identity

NPI1902140130

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameCIARA JORDAN STOUTENBURGHCredential: PA-C

Location Address3851 PIPER ST STE U466Anchorage, AK 99508-6905

Mailing Address3851 Piper St Ste U466Anchorage, AK 99508-6905 · (907) 569-1333 · Fax (907) 569-1433

Phone(907) 569-1333

Fax(907) 569-1433

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2022

Enumeration DateNovember 9, 2012

Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2026

✔ NPI 1902140130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in AK · 200275

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3851 PIPER ST STE U466, Anchorage, AK 99508

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ciara Jordan Stoutenburgh Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224408026

PECOS Enrollment IDI20230111001802, I20260219000748

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

68 services63 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

24 services23 patients

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERICA J HEAGY FNP

Nurse Practitioner (Family)