Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Bennett Robert Stadler

Physician Assistant β€’ Jber, AK

Active NPI 1679056659 Individual Practitioner Male Practitioner
Practice location in NPPES

673 Mdg 5955 Zeamer Avenue
Jber, AK 99506

Call 9075801571 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

673 Mdg 5955 Zeamer Avenue

Jber, AK 99506

Telephone 9075801571
Organization at the Same NPPES Address or Phone
Department Of Defense Facility NPI 1669898623

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2018

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

Enrolled in Medicare (PECOS)

Bennett Stadler has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Bennett Stadler as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jber and Alaska

11 active clinicians are listed under Physician Assistant with a practice address in Jber, AK (542 in Alaska).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jber

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: 2025-02-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

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

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20200710002813

Enrollment State Jurisdiction

AK

PECOS Control ID

0749603660

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

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

3 listed
Alexander Chase

Orthopaedic Surgery

NPI 1891374450
Dr. Andrew Cornelius , MD

Orthopaedic Surgery

NPI 1447426424

Doctor of Medicine (M.D.)

Dr. John Stacey , DO

Orthopaedic Surgery

NPI 1285070474

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Business Mailing Address February 25, 2025

Registered at 5955 ZEAMER AVE, 673 MDG / JB ELMENDORF-RICHARDSON USAF, ANCHORAGE, AK 99506

πŸ“
Updated Practice Location November 26, 2018

Registered at 673 MDG 5955 ZEAMER AVENUE, JBER, AK 99506 (Tel: 9075801571)

πŸ“
Updated Business Mailing Address November 26, 2018

Registered at 673 MDG 5955 ZEAMER AVENUE, JBER, AK 99506 (Tel: 9075801571)

βœ…
NPI Profile Active September 14, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 14, 2018

Registered at 1201 N MULDOON RD, ANCHORAGE, AK 995046104 (Tel: 9072574700)

πŸ“
Business Mailing Address (Initial Record) September 14, 2018

Registered at 1201 N MULDOON RD, ANCHORAGE, AK 995046104 (Tel: 9072574700)

πŸ‘€
Provider Name / Credentials (Initial Record) September 14, 2018

Recorded as BENNETT STADLER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2018

Physician Assistant

🟒
Initial NPI Registration & Enumeration September 14, 2018

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1679056659
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2018
Last Update: February 25, 2025
Sole Proprietor: No

Mailing Address

5955 Zeamer Ave, 673 Mdg / Jb Elmendorf-Richardson Usaf

Anchorage, AK 99506

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.