Individual provider Active NPI

Rachel Fadeley, MSN, APRN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1023544764
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
182514 Issued in AK
Practice address
4001 Lake Otis Pkwy Ste 101
Anchorage, AK 99508-5200
Phone
(800) 769-0045
NPI assigned
May 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 182514 AK Primary

Addresses

Primary practice location

4001 Lake Otis Pkwy Ste 101
Anchorage, AK 99508-5200

Mailing address

4001 Lake Otis Pkwy Ste 101
Anchorage, AK 99508-5200
Phone (907) 302-4842

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
I20241127001939 AK Practitioner - Nurse Practitioner 9537694591 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
182514AKMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kachemak Bay Family Planning Clinic CurrentSince Oct 21, 2024 Accepting new patients

Locations

3959 Ben Walters Ln
Homer, AK 99603
Phone (907) 235-3436

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFHHBD/Endpoint/BFHHBD

Organizations & group practices 1

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": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1023544764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 LAKE OTIS PKWY STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085200",
            "telephone_number": "907-302-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 LAKE OTIS PKWY STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085200",
            "telephone_number": "800-769-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADELEY",
        "first_name": "RACHEL",
        "credential": "MSN, APRN, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2022-09-08",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AK",
            "license": "182514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.