Individual provider Active NPI

Rosa Morrissett, CNM

  • Midwife
  • Anchorage, AK
National Provider Identifier
1043913965
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
204203 Issued in AK
Practice address
3260 Providence Dr # C-425
Anchorage, AK 99508-4661
Phone
(907) 382-8958
NPI assigned
Mar 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 204203 AK Primary

Addresses

Primary practice location

3260 Providence Dr # C-425
Anchorage, AK 99508-4661

Mailing address

18615 N Lowrie Loop
Eagle River, AK 99577-8690
Phone (907) 382-8958

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230425001924 AK Practitioner - Certified Nurse Midwife (CNM) 8527423656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchorage Women'S Clinic at Providence LLCGroup PAC ID 9032102124, 12 clinicians

Practice addresses (Care Compare)

3260 Providence Dr
Suite 425
Anchorage, AK 99508-4603
Phone (907) 561-7111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
204203AKMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorage Women'S Clinic, LLC CurrentSince Apr 14, 2023 Accepting new patients
Obhg Alaska, P.C. Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients

Locations

3260 Providence Dr
Ste 425C
Anchorage, AK 99508
Phone (907) 382-8958

3260 Providence Dr
Ste 425
Anchorage, AK 99508
Phone (907) 561-7111

17101 Snowmobile Ln
Ste 201
Eagle River, AK 99577
Phone (907) 561-7111

17101 Snowmobile Ln
Eagle River, AK 99577
Phone (907) 212-3182

Organizations & group practices 3

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": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1043913965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18615 N LOWRIE LOOP",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778690",
            "telephone_number": "907-382-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 PROVIDENCE DR # C-425",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084661",
            "telephone_number": "907-382-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISSETT",
        "first_name": "ROSA",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AK",
            "license": "204203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.