Ciara Jordan Stoutenburgh, PA-C is a medicare enrolled "Physician Assistant - Medical" provider in Anchorage, Alaska. She graduated from healthcare school in 2022 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Alaska Native Tribal Health Consortium and her current practice location is
4320 Diplomacy Dr, Anchorage, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 729-3300.
Ciara Jordan Stoutenburgh is licensed to practice in Alaska (license number 200275) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902140130.
Healthcare Provider's Profile
| Full Name | Ciara Jordan Stoutenburgh |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 4320 Diplomacy Dr, Anchorage, Alaska |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ciara Jordan Stoutenburgh graduated from medical school in 2022
NPI Data:
- NPI Number: 1902140130
- Provider Enumeration Date: 11/09/2012
- Last Update Date: 01/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 8224408026
- Enrollment ID: I20230111001802
Medical Identifiers
Medical identifiers for Ciara Jordan Stoutenburgh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902140130 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 200275 (Alaska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Alaska Native Tribal Health Consortium | 6709780265 | 504 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ciara Jordan Stoutenburgh is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Ciara Jordan Stoutenburgh, PA-C
7033 E Tudor Rd,
Anchorage, AK 99507-1262
Ph: (907) 729-4955 | Ciara Jordan Stoutenburgh, PA-C
4320 Diplomacy Dr,
Anchorage, AK 99508-5925
Ph: (907) 729-3300 |
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