Active NPI
Brianna Clendenin
- Primary Care Nurse Practitioner
- Anchorage, AK
National Provider Identifier
1073050373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 118589
- Practice address
- 2600 Denali St Ste 101
Anchorage, AK 99503-2746 - Phone
- (907) 331-7215
- NPI assigned
- Jan 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 118589 | AK | Primary |
Addresses
Primary practice location
2600 Denali St Ste 101
Anchorage, AK 99503-2746
Mailing address
2600 Denali St Ste 101
Anchorage, AK 99503-2746
Phone (907) 331-7215
Other practice location 1
800 Cordova St
Anchorage, AK 99501-3717
Phone (907) 269-8161
Other practice location 2
1237 W 27th Ave
Anchorage, AK 99503-2318
Phone (907) 331-7215
Other practice location 3
12900 W Creek Frontage Rd
Big Lake, AK 99623-4880
Phone (907) 331-7215
Other practice location 4
6246 E Visions Crest Blvd
Palmer, AK 99645
Phone (907) 331-7215
Other names 1
- Brianna Patton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Dec 17, 2025 through Dec 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118589 | AK | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1073050373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 DENALI ST STE 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995032746",
"telephone_number": "907-331-7215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 DENALI ST STE 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995032746",
"telephone_number": "907-331-7215"
}
],
"practiceLocations": [
{
"address_1": "800 Cordova St",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995013717",
"country_code": "US",
"telephone_number": "907-269-8161",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1237 W 27th Ave",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995032318",
"country_code": "US",
"telephone_number": "907-331-7215",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12900 W Creek Frontage Rd",
"address_purpose": "LOCATION",
"city": "Big Lake",
"state": "AK",
"postal_code": "996234880",
"country_code": "US",
"telephone_number": "907-331-7215",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6246 E Visions Crest Blvd",
"address_purpose": "LOCATION",
"city": "Palmer",
"state": "AK",
"postal_code": "99645",
"country_code": "US",
"telephone_number": "907-331-7215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLENDENIN",
"first_name": "BRIANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-24",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "AK",
"license": "118589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIANNA",
"last_name": "PATTON",
"credential": "APN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.