NPIMap

Individual provider Active NPI

Jeoffrey Walter Lanfear, FNP

  • Family Nurse Practitioner
  • Soldotna, AK
National Provider Identifier
1083887749
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR U 1026 Issued in AK
Practice address
44604 Sterling Hwy Ste D
Soldotna, AK 99669-7962
Phone
(907) 420-0585
Fax
(907) 420-0586
NPI assigned
Apr 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NUR U 1026 AK Primary

Addresses

Primary practice location

44604 Sterling Hwy Ste D
Soldotna, AK 99669-7962

Mailing address

4201 Tudor Centre Dr
Suite 320
Anchorage, AK 99508-5904
Phone (907) 729-8624

Other identifiers 1

IdentifierTypeStateIssuer
NP1026MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081211000420 AK Practitioner - Nurse Practitioner 8022179860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care of Soldotna IncGroup PAC ID 5698101194, 5 clinicians

Practice addresses (Care Compare)

44009 Sterling Hwy
Suite a
Soldotna, AK 99669-8030
Phone (907) 420-0585

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
332AKMDClinical Psychologist
NUR U 1026AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Physical Therapy LLC CurrentSince Jul 18, 2022 Accepting new patients
Urgent Care of Soldotna Inc. CurrentSince Jan 15, 2020 Accepting new patients
Soldotna Family Practice LLC CurrentSince Mar 1, 2025 Accepting new patients
Ninilchik Village PastSince Nov 20, 2013 Accepting new patients

Locations

44009 Sterling Hwy
Soldotna, AK 99669

44604 Sterling Hwy
Ste D
Soldotna, AK 99669
Phone (907) 420-0476

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20934/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jeoffrey.lanfear.1@20934.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1083887749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 TUDOR CENTRE DR",
            "address_2": "SUITE 320",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085904",
            "telephone_number": "907-729-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44604 STERLING HWY STE D",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697962",
            "telephone_number": "907-420-0585",
            "fax_number": "907-420-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANFEAR",
        "first_name": "JEOFFREY",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "NUR U 1026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1026",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

Verify at the official NPI Registry.