Limited public information available
This provider is listed in NPPES, but additional records were not identified in the sources currently connected. Additional information may be available directly from official licensing authorities.
JARED WALLACE, PA-C
KENAI, AKNPI · 1063746667Verified via NPPES
Source: NPPES NPI Registry
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Educational answers with the public sources they came from. Phoenix never diagnoses and never recommends one provider or hospital over another.
Identity & practice
- Legal name
- JARED WALLACE, PA-C
- Profession
- Physician
- NPI
- 1063746667
- Primary specialty
- Physician Assistant
- Taxonomy code
- 363A00000X
- Practice status
- Not on record
- Credentials
- PA-C
- Practice address
- 43783 KENAI SPUR HWY · KENAI, AK, 99611
Provider Intelligence
Everything public we can show about JARED WALLACE, PA-C
3 of 15 public-record dimensions are populated from connected sources. Where a dataset is not connected yet, Phoenix links you straight to the official lookup instead of guessing. Nothing here ranks or endorses a provider.
State licenses
Every state licence Phoenix has located for this provider, current or historical.
Check the state board
Licence status changes between refreshes. The issuing board is always the authoritative record.
Check State medical & professional boardsBoard certifications
Specialty certification reported by a recognised certifying board.
Look up on ABMS
Certification is a training and examination credential. It does not describe an individual patient outcome.
Check ABMS Certification MattersEducation
Professional school and degree records located in connected public sources.
Not yet ingested
Education is published inconsistently across states. Absence here does not mean absence of training.
Check State board profiles & NPPESResidency & fellowship
Postgraduate training programmes reported in public records.
Not yet ingested
Training history is self-reported to boards and directories, and is not audited by Phoenix.
Check State board profiles & hospital directoriesHospital affiliations
Facilities publicly connected to this provider through directories or address overlap.
Confirm with the practice
An affiliation means a public record links the provider to the facility. It does not guarantee admitting privileges today.
Check CMS Hospital Compare · NPPESPractice locations
Addresses where the provider is publicly listed as practising.
1 location
- 43783 KENAI SPUR HWY · KENAI, AK, 99611 · Primary practice address (NPPES)9072839116Source record
Registry addresses lag reality. Always confirm the location before travelling to an appointment.
Verify at NPPES NPI RegistryPublic disciplinary actions
Publicly posted board or government actions matched to this provider.
Search the state board
Phoenix reports that a record exists. It never interprets severity, intent, or current standing — read the original filing.
Check State boards · FSMB DocInfoNPI details
The federal identity record every U.S. provider must maintain.
NPI 1063746667
- Legal name · JARED WALLACE, PA-C
- Credentials · PA-C
- Primary taxonomy · Physician Assistant363A00000X
NPPES is self-maintained by the provider, so contact details can be out of date.
Verify at NPPES NPI Registry (CMS)CMS participation
Whether the provider is enrolled in Medicare and accepting assignment.
Look up on Medicare Care Compare
Medicare enrolment and assignment status are published by CMS and change frequently. Confirm before booking.
Check Medicare Care Compare (CMS)OIG exclusion status
Whether the provider appears on the federal list of excluded individuals.
Search the OIG LEIE
Exclusion lists are name-based and can return similar names. Confirm identity fields before drawing a conclusion.
Check HHS OIG · List of Excluded Individuals/EntitiesOpen Payments
Payments and transfers of value reported by drug and device manufacturers.
Search Open Payments
A reported payment is not evidence of wrongdoing. Research funding, meals, and royalties are all reported together.
Check CMS Open PaymentsYears in practice
Time since the earliest licensing or practice record Phoenix can see.
No dated record yet
This is a floor, not a career total — earlier practice may exist without a public dated record. Experience is not a quality measure.
Check Derived from dated public recordsLanguages
Languages spoken in the practice.
Ask the practice directly
Language capability is rarely published in a reliable public dataset, so Phoenix will not guess it.
Check Practice / health plan directoryAccepted insurance
Plans and networks the provider participates in.
Confirm with your plan
Network participation changes mid-year and varies by plan and location. Your insurer's directory is the only reliable source.
Check Your health plan's provider directoryProcedure & specialty intelligence
What the specialty and taxonomy records say this provider is trained to do.
1 specialty record
- Physician Assistant · Primary specialty (NPPES taxonomy)363A00000XSource record
Specialty codes describe scope of training, not procedure volume, outcomes, or suitability for your situation.
Verify at NPPES taxonomy · certifying boardsPractice Locations & Affiliations
Compiled from NPPES, CMS PECOS, and hospital directoriesPrimary Practice Location · NPPES
JARED WALLACE, PA-C
43783 KENAI SPUR HWY · KENAI, AK, 99611
Phone · 9072839116
Source: NPPES NPI Registry
Healthcare Organization
43783 KENAI SPUR HWY · NIKISKI, AK, 996119708
Phone · 9072839116
Sources: CMS Hospital Compare · NPPES · Phone match + Address match + Taxonomy compatible
Sources: CMS Hospital Compare · NPPES · ZIP match + Same city
Sources: CMS Hospital Compare · NPPES · ZIP match + Same city
Clinic / Group Practice
51101 POLARIS WAY · KENAI, AK, 99611
Phone · 9079521306
Sources: CMS Hospital Compare · NPPES · ZIP match + Same city
Sources: CMS Hospital Compare · NPPES · ZIP match + Same city
Home Health / Agency
51045 POLARIS WAY · KENAI, AK, 99611
Phone · 9073944275
Sources: CMS Hospital Compare · NPPES · ZIP match + Same city
Healthcare Organization
701 NORTH FOREST DR · KENAI, AK, 99611
Phone · 9073352050
Sources: CMS Hospital Compare · NPPES · ZIP match + Same city
Clinic / Group Practice
100 TRADING BAY RD STE 7 · KENAI, AK, 99611
Phone · 3607717458
Sources: CMS Hospital Compare · NPPES · ZIP match + Same city
Healthcare Organization
11595 KENAI SPUR HIGHWAY · KENAI, AK, 99611
Phone · 9073134569
Sources: CMS Hospital Compare · NPPES · ZIP match + Same city
Sources: CMS Hospital Compare · NPPES · ZIP match + Same city
Sources: CMS Hospital Compare · NPPES · ZIP match + Same city
Clinic / Group Practice
ODYSSEY FAMILY PRACTICE LLC · KENAI, AK, 99611
Phone · 9073134569
Sources: CMS Hospital Compare · NPPES · ZIP match + Same city
Sources: CMS Hospital Compare · NPPES · ZIP match + Same city
Clinic / Group Practice
12271 SOUTH FOREST DRIVE · KENAI, AK, 99611
Phone · 9073357636
Sources: CMS Hospital Compare · NPPES · ZIP match + Same city
Practice information is compiled from verified public datasets (NPPES, CMS PECOS, hospital directories, and state licensing records). Public records may vary by source and update schedule.
Phoenix Insight™
Why Practice Location Matters
Where care happens affects travel, scheduling, caregiver support, and follow-up visits.
Ongoing care often means several visits. A location that is realistic for you — by car, transit, or with a caregiver — makes it easier to keep appointments and follow through on treatment.
Addresses shown here come from the provider's registered public records.
What this does not tell you
- — Registered addresses can be billing offices rather than places you can visit.
- — Providers may practice at locations that are not in public records.
- — Call ahead to confirm the address, hours, and accessibility.
Educational information only — not medical advice, and not a rating or endorsement of any provider.
Contact
9072839116
Verify current contact info directly with the practice.
Verified Public Information
A summary of how many verified public datasets currently contain information for this provider. This is a coverage indicator only — it is not a quality rating and does not evaluate care.
0Verified Public Data Sources Connected
Additional public datasets are still being checked and may become available over time.
Category coverage
- —
Current Licenses
Not Yet Queried · State Medical Boards
- —
Historical Licenses
Not Yet Queried · State Medical Boards
- —
Practice History
Checked — No Public Record Identified · NPPES / CMS PECOS
- —
Hospital Affiliations
Not Yet Queried · CMS Hospital Data
- —
Board Certifications
Not Yet Queried · ABMS Public Lookup
- —
Medical Board Records
Not Yet Queried · State Medical Boards
- —
Quality Data
Not Yet Queried · CMS Care Compare
- —
Verified Public Sources
Checked — No Public Record Identified · NPPES · CMS · State Boards
Missing data is not proof of absence. "Not identified in currently connected public sources." simply means Phoenix Health Compass did not find a record in the datasets currently connected for this category — additional public sources may show more.
Phoenix Verification Panel
What was checked, where it came from, and what remains unconfirmed. Verification is a record match — it is not a rating, ranking, or endorsement.
Professional Verification
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Phoenix Insight™
Where Phoenix Gets Its Information
Phoenix Health Compass builds profiles from official government and licensing sources, and links to every one of them.
Knowing where information comes from helps you judge how much weight to give it. Phoenix prioritizes federal registries, state licensing boards, and other official public datasets.
Every data element on a profile carries a source link so you can confirm it yourself at the original agency.
What this does not tell you
- — Public sources are not complete, and coverage differs by state and profession.
- — Phoenix does not add opinions, ratings, or private information to these records.
Learn more from trusted public sources
- NPPES NPI Registry — The federal registry of provider identity, specialty taxonomy, and practice address.
- CMS Data — Federal enrollment, participation, and quality datasets.
- OIG Exclusions Database — Federal exclusion records for healthcare programs.
Educational information only — not medical advice, and not a rating or endorsement of any provider.
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Educational reference only. Information on this profile is aggregated from public sources for research and preparation. It is not an endorsement, rating, or recommendation, and it is not a substitute for professional medical advice, diagnosis, or treatment.