Individual provider Active NPI

Jean Nicole Walker, WHNP-BC. RNC-OB

  • Women's Health Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1073097523
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
204694 Issued in AK
Practice address
673 MDG, 5955 Zeamer Avenue
Jber
Anchorage, AK 99506
Phone
(907) 580-3205
NPI assigned
Sep 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 204694 AK Primary
Ambulatory Women's Health Care Registered Nurse 163WW0101X 1647646 CO

Addresses

Primary practice location

673 MDG, 5955 Zeamer Avenue
Jber
Anchorage, AK 99506

Mailing address

673 Medical Group
5955 Zeamer Avenue
Jber, AK 99506
Phone (907) 580-3205

Other practice location 1

7780 S Broadway Ste 280
Littleton, CO 80122-2633
Phone (303) 738-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20181031001682 CO Practitioner - Nurse Practitioner 8022361542 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1647646COMDAmbulatory Women's Health Care Registered Nurse
204694AKMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Onpoint Medical Group, LLC Current Accepting new patients
Onpoint Medical Group, LLC CurrentSince Oct 15, 2018 Accepting new patients
Onpoint Medical Group, LLC CurrentSince Oct 15, 2018 Accepting new patients

Locations

1805 Shea Center Dr
Ste 301
Highlands Ranch, CO 80129
Phone (303) 357-2559

7780 S Broadway
Ste 280
Littleton, CO 80122
Phone (303) 738-1100

7335 S Pierce St
Littleton, CO 80128
Phone (303) 932-1919

Interoperability endpoints

  • Direct secure messaging: jean.walker.1@34051.direct.athenahealth.com

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": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1073097523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 MEDICAL GROUP",
            "address_2": "5955 ZEAMER AVENUE",
            "city": "JBER",
            "state": "AK",
            "postal_code": "99506",
            "telephone_number": "907-580-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 MDG, 5955 ZEAMER AVENUE",
            "address_2": "JBER",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99506",
            "telephone_number": "907-580-3205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7780 S Broadway Ste 280",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801222633",
            "country_code": "US",
            "telephone_number": "303-738-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JEAN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC. RNC-OB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AK",
            "license": "204694",
            "primary": true
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "CO",
            "license": "1647646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.