Individual provider Active NPI

Denise C Valentine, FNP

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1073536876
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
876 Issued in AK
Practice address
3841 Piper St
Suite T-100
Anchorage, AK 99508-4624
Phone
(907) 561-3211
Fax
(907) 562-7547
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0050012711 NC
Family Nurse Practitioner 363LF0000X 876 AK Primary

Addresses

Primary practice location

3841 Piper St
Suite T-100
Anchorage, AK 99508-4624

Mailing address

PO Box 200149
Anchorage, AK 99520-0149
Phone (907) 561-3211

Other identifiers 1

IdentifierTypeStateIssuer
1022880MedicaidAK

Other names 1

  • Mrs. Denise C Ekstrom Former name

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
I20050907000580 AK Practitioner - Nurse Practitioner 8921030354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as apm
Quality
71.03
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0050012711NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Heart Institute CurrentSince Sep 3, 2013 Accepting new patients
Alaska Heart Institute CurrentSince Sep 3, 2013 Accepting new patients
Raymond E. Andreassen Past Accepting new patients

Locations

2751 Debarr Rd
Ste B200
Anchorage, AK 99508

3841 Piper St
Ste T100
Anchorage, AK 99508
Phone (907) 550-2233

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1073536876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200149",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995200149",
            "telephone_number": "907-561-3211",
            "fax_number": "907-562-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 PIPER ST",
            "address_2": "SUITE T-100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084624",
            "telephone_number": "907-561-3211",
            "fax_number": "907-562-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "DENISE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "0050012711",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022880",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "EKSTROM",
            "middle_name": "C",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.