Individual provider Active NPI

Erica Fossler

  • Family Health Clinical Nurse Specialist
  • Anchorage, AK
National Provider Identifier
1013313923
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
1487 Issued in AK
Practice address
3851 Piper St
Anchorage, AK 99508-4684
Phone
(907) 562-0321
Fax
(907) 562-2683
NPI assigned
Nov 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X 1487 AK Primary

Addresses

Primary practice location

3851 Piper St
Anchorage, AK 99508-4684

Mailing address

3851 Piper St
Anchorage, AK 99508-4684
Phone (907) 562-0321

Other identifiers 1

IdentifierTypeStateIssuer
1487OtherAKSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150123001994 AK Practitioner - Nurse Practitioner 5294059168 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Katmai Oncology Group, LLC CurrentSince Dec 8, 2014 Accepting new patients
Katmai Oncology Group, LLC CurrentSince Dec 8, 2014 Accepting new patients

Locations

3851 Piper St
Anchorage, AK 99508
Phone (907) 569-1333

3851 Piper St
Ste U340
Anchorage, AK 99508
Phone (907) 562-0321

Interoperability endpoints

  • Direct secure messaging: erica.fossler@katmai.ikm.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1013313923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 PIPER ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084684",
            "telephone_number": "907-562-0321",
            "fax_number": "907-562-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 PIPER ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084684",
            "telephone_number": "907-562-0321",
            "fax_number": "907-562-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSSLER",
        "first_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "AK",
            "license": "1487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1487",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.