CMS-1500 Box 24J / 33a • NPI
1902150139
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363AM0700X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical
Box 32 Service Location & ZIP+4
17025 SNOWMOBILE LN, EAGLE RIVER, AK, 99577-7044
✓ 9-Digit EDI 837 ZIP+4 (99577-7044)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1902150139 (KERRY A ANSON, PA-C, ATC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1902150139)
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
36415 | Insertion of needle into vein for collection of blood sample | 197 |
81002 | Urinalysis, manual test | 15 |
90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 |
96127 | Assessment of emotional or behavioral problems | 75 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 30 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 267 |
G0009 | Administration of pneumococcal vaccine | 12 |
G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 91 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1902150139 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KERRY A ANSON, PA-C, ATC |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical NUCC Code: 363AM0700X (Physician Assistant, Medical) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 17025 SNOWMOBILE LN, EAGLE RIVER, AK, 99577-7044 |
| Practice Telephone / Fax | Tel: (907) 694-9553 | Fax: (907) 694-9585 |
| Administrative Mailing Address | 3066 E MERIDIAN PARK LOOP, WASILLA, AK, 99654-7254 |
| Enumeration & Last Sync | Enumerated: 2012-11-09 | CMS Record Updated: 2017-09-28 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363AM0700X)
What Does Taxonomy Code 363AM0700X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363AM0700X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KERRY A ANSON, PA-C, ATC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: AK | License: 1073 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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