Rachael Elizabeth Hacke, DNP, PMHNP, FNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Chugiak, AK
NPI 1063955482 · NPPES record last updated Feb 2, 2026
Key facts
- NPI
- 1063955482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 183780 (AK)
- Practice address
- 30881 Eklutna Lake Rd
Chugiak, AK 99567-5166 - Phone
- (907) 793-3600
- NPI assigned
- Dec 2, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.61 of 100
- Quality
- 71.98
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.55
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230914003258 | AK | Practitioner - Nurse Practitioner | 7012274145 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 183780 | AK | MD | Family Nurse Practitioner |
| AP10191 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Inlet Tribal Council, Inc | Current |
Accepting new patients | |
| Providence Health & Services - Washington | Current |
Accepting new patients | |
| Anchorage Bariatrics, LLC | Current |
Accepting new patients | |
| Cook Inlet Tribal Council, Inc | Past |
Accepting new patients |
Locations
3760 Piper St
Ste 1108
Anchorage, AK 99508
Phone (907) 212-6900
3909 Arctic Blvd
Ste 101
Anchorage, AK 99503
Phone (907) 272-1275
3760 Piper St
Ste 1108A
Anchorage, AK 99508
Phone (907) 212-6900
3600 San Jeronimo Dr
Anchorage, AK 99508
Phone (907) 793-3200
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/citci/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 183780 | AK | |
| Family Nurse Practitioner | 363LF0000X | AP10191 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 183780 | AK | Yes |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 183779 | AK | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP10191 | AZ | |
| Registered Nurse | 163W00000X | RN182118 | AZ |
Addresses
Primary practice location
30881 Eklutna Lake Rd
Chugiak, AK 99567-5166
Mailing address
3600 San Jeronimo Dr
Anchorage, AK 99508-2870
Phone (907) 793-3600
Other practice location 1
3600 San Jeronimo Dr
Anchorage, AK 99508-2870
Phone (907) 793-3600
Other practice location 2
3149 Mountain View Dr
Anchorage, AK 99501-3106
Phone (907) 793-3600
Other providers in Chugiak, AK
- Alexandria Michelle Ford
- Lorraine Fullbright
- Shane D Ghramm
- Desiree Gold
- Linda Gonzales
- Hands on Healthcare
- Alexa Hanley
- Donna Jean Hanson
- Kim Hartke
- Cynthia D Hatton
All providers in Chugiak, AK · Psychiatric/Mental Health Nurse Practitioner in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.