Active NPI
Lennett Petersen, APRN
- Nurse Practitioner
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 166918
- Practice address
- 3801 Lake Otis Pkwy Ste 300
Anchorage, AK 99508-5234 - Phone
- (907) 562-2277
- Fax
- (907) 563-3460
- NPI assigned
- Oct 21, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 38066 | AK | |
| Nurse Practitioner | 363L00000X | 166918 | AK | Primary |
Addresses
Primary practice location
3801 Lake Otis Pkwy Ste 300
Anchorage, AK 99508-5234
Mailing address
3801 Lake Otis Pkwy Ste 300
Anchorage, AK 99508-5234
Phone (907) 562-2277
Other practice location 1
3200 Providence Dr
Anchorage, AK 99508-4615
Phone (907) 854-9333
Other practice location 2
10928 Eagle River Rd Ste 240
Eagle River, AK 99577-8080
Phone (907) 562-2277
Other practice location 3
7010 E Bogard Rd Bldg 2
Wasilla, AK 99654-4711
Phone (907) 373-4732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1721224 | Medicaid | AK |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10928 Eagle River Rd
Suite 240
Eagle River, AK 99577-8080
Phone (907) 622-7246
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.68 of 100
- Quality
- 52.97
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 73.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38066 | AK | MD | General Practice Registered Nurse |
| 166918 | AK | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthoalaska LLC | Current | Accepting new patients | |
| Orthoalaska, LLC | Nurse Practitioner | Current | Accepting new patients |
| Orthoalaska, LLC | Past | Accepting new patients | |
| Orthoalaska LLC | Past | Accepting new patients |
Locations
3801 Lake Otis Pkwy
Ste 300
Anchorage, AK 99508
Phone (907) 341-5238
10928 Eagle River Rd
Ste 240
Eagle River, AK 99577
Phone (907) 622-2478
Interoperability endpoints
- lennett.lerch.p1@direct.opaak.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Durable Medical Equipment & Medical Supplies
- Wasilla, AK
- NPI 1528937570
-
- Rheumatology Physician
- Anchorage, AK
- NPI 1265293252
-
- Durable Medical Equipment & Medical Supplies
- Wasilla, AK
- NPI 1043698491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764720000000",
"number": "1104425073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 LAKE OTIS PKWY STE 300",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085234",
"telephone_number": "907-562-2277",
"fax_number": "907-563-3460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 LAKE OTIS PKWY STE 300",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085234",
"telephone_number": "907-562-2277",
"fax_number": "907-563-3460"
}
],
"practiceLocations": [
{
"address_1": "3200 Providence Dr",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995084615",
"country_code": "US",
"telephone_number": "907-854-9333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10928 Eagle River Rd Ste 240",
"address_purpose": "LOCATION",
"city": "Eagle River",
"state": "AK",
"postal_code": "995778080",
"country_code": "US",
"telephone_number": "907-562-2277",
"fax_number": "907-563-3460",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7010 E Bogard Rd Bldg 2",
"address_purpose": "LOCATION",
"city": "Wasilla",
"state": "AK",
"postal_code": "996544711",
"country_code": "US",
"telephone_number": "907-373-4732",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERSEN",
"first_name": "LENNETT",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-21",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "AK",
"license": "38066",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AK",
"license": "166918",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1721224",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
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 Dec 3, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.