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Active NPI 1740358167 Individual Practitioner Female Practitioner

Katherine Grace Van Atta , PA-C, CNM

Advanced Practice Midwife • Wasilla, AK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Katherine Van Atta, PA-C, CNM is a certified Advanced Practice Midwife practicing in Wasilla, AK. With approximately 8 years of clinical experience since completing medical education in 2018, Katherine Van Atta delivers high-quality medical care to the local community at 5000 E SHENNUM DR.

Katherine Van Atta maintains professional affiliations with Mat-Su Midwifery Inc, Camai Community Health Center Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

5000 E Shennum Dr

Wasilla, AK 996547718

Telephone 9073733420
Fax 9073767847
Associated Practice Facility / Clinic
🏢 Mat-Su Midwifery Inc Facility NPI 1275696486

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Advanced Practice Midwife in Wasilla, AK

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -5.3 yrs vs City Avg
City Avg: 13.3 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
10 Specialists

Practicing in Wasilla, AK (103 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Van Atta (8 Years) 8 Yrs
Wasilla Specialty Average (13.3 Years) 13.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-02-19
Advanced Practice Midwife Primary Specialty

NUCC Taxonomy Code: 367A00000X

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License AK 879

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
MDA0205 (AK)

Hospital & Practice Group Affiliations

Mat-Su Midwifery Inc

5000 E Shennum Dr, Wasilla, AK 996547718

Phone: 9073733420

Camai Community Health Center Inc

2 School Rd, Naknek, AK 996330211

Phone: 9072466155

Secondary Practice Locations

3505 E Meridian Park Loop Ste 100

Wasilla, AK 996547242

Phone: 9073574963

2650 E Broadview Ave

Wasilla, AK 996548302

Phone: 9073733420

2 School Road

Naknek, AK 99633

Phone: 9072466155

3380 C St Ste 100

Anchorage, AK 995033949

Phone: 9072771440

4320 Diplomacy Dr Ste 2602

Anchorage, AK 995085925

Phone: 9077294245

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Katherynn Swayzer , CNM

Advanced Practice Midwife

NPI 1013847417

Certified Nurse Midwife

NPI 1063605467
Trinity Brant , CNM

Advanced Practice Midwife

NPI 1194647495

Certified Nurse Midwife

Erica Wright

Nurse Practitioner - Family

NPI 1205373883
Moriah Hediger , APRN

Nurse Practitioner - Family

NPI 1225808728

Advanced Practice Registered Nurse

Dr. Stephen Kujansuu , MD

Obstetrics & Gynecology

NPI 1295925477

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location February 19, 2024

Registered at 5000 E SHENNUM DR, WASILLA, AK 996547718 (Tel: 9073733420)

📍
Updated Business Mailing Address February 19, 2024

Registered at 5000 E SHENNUM DR, WASILLA, AK 996547718 (Tel: 9073733420)

📍
Updated Practice Location June 07, 2021

Registered at 3505 E MERIDIAN PARK LOOP STE 100, WASILLA, AK 996547242 (Tel: 9073574963)

📍
Updated Practice Location October 15, 2018

Registered at 2650 E BROADVIEW AVE, WASILLA, AK 996548302 (Tel: 9073733420)

📍
Updated Business Mailing Address October 15, 2018

Registered at 2650 E BROADVIEW AVE, WASILLA, AK 996548302 (Tel: 9073733420)

👤
Provider Name / Credentials Updated October 15, 2018

Recorded as KATHERINE VAN ATTA, PA-C, CNM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2018

Physician Assistant (License #879 in AK)

NPI Profile Active April 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2016

Registered at 4320 DIPLOMACY DRIVE, STE. 2602, ANCHORAGE, AK 99508 (Tel: 9077294245)

📍
Updated Business Mailing Address April 08, 2016

Registered at 4320 DIPLOMACY DRIVE, STE. 2602, ANCHORAGE, AK 99508 (Tel: 9077294245)

👤
Provider Name / Credentials Updated April 08, 2016

Recorded as KATHERINE VAN ATTA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2016

Physician Assistant (License #879 in AK)

🟢
Initial NPI Registration & Enumeration December 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1740358167
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2006
Last Update: February 19, 2024
Sole Proprietor: No

Mailing Address

5000 E Shennum Dr

Wasilla, AK 996547718

Phone: 9073733420

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.