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Shane D Ghramm

Case Manager/Care Coordinator β€’ Chugiak, AK

Active NPI 1184184822 Individual Practitioner Male Practitioner
Practice location in NPPES

30881 Eklutna Lake Rd
Chugiak, AK 995675166

Call 9076881750 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

30881 Eklutna Lake Rd

Chugiak, AK 995675166

Telephone 9076881750

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chugiak and Alaska

11 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Chugiak, AK (1,765 in Alaska).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chugiak

0% of these 11 clinicians have the CMS telehealth indicator.

0% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-06-25
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Peer Specialist

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alaska State Medical Licensing Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Rachael Hacke , DNP, PMHNP, FNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063955482

Doctor of Nursing Practice, Psychiatric-Mental Health Nurse Practitioner, Family Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location June 25, 2024

Registered at 30881 EKLUTNA LAKE RD, CHUGIAK, AK 995675166 (Tel: 9076881750)

πŸ“
Updated Business Mailing Address June 25, 2024

Registered at 3600 SAN JERONIMO DR, ANCHORAGE, AK 995082870 (Tel: 9077933600)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2024

Peer Specialist

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2024

Case Manager/Care Coordinator

πŸ“
Updated Practice Location January 24, 2022

Registered at 2211 ARCA DR, ANCHORAGE, AK 995083462 (Tel: 9072776677)

πŸ“
Updated Business Mailing Address January 24, 2022

Registered at 2211 ARCA DR, ANCHORAGE, AK 995083462 (Tel: 9072776677)

πŸ‘€
Provider Name / Credentials Updated January 24, 2022

Recorded as SHANE GHRAMM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2022

Peer Specialist

βœ…
NPI Profile Active March 20, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 20, 2019

Registered at 540 W INTERNATIONAL RD, ANCHORAGE, AK 995181105 (Tel: 9075615335)

πŸ“
Business Mailing Address (Initial Record) March 20, 2019

Registered at 540 W INTERNATIONAL AIRPORT RD # AK99518, ANCHORAGE, AK 995181105 (Tel: 9075615335)

πŸ‘€
Provider Name / Credentials (Initial Record) March 20, 2019

Recorded as SHANE GHRAMM, BEHAVIOR TECHNICIAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2019

Behavior Technician

🟒
Initial NPI Registration & Enumeration March 20, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1184184822
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2019
Last Update: June 25, 2024
Sole Proprietor: No

Mailing Address

3600 San Jeronimo Dr

Anchorage, AK 995082870

Phone: 9077933600

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.