Individual provider Active NPI

Jessica Lynn Bray, ANP-C

  • Nurse Practitioner
  • Palmer, AK
National Provider Identifier
1104590751
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
182046 Issued in AK
Practice address
2490 S Woodworth Loop Ste 200
Palmer, AK 99645-7410
Phone
(907) 861-6700
NPI assigned
Aug 6, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alyeska Vascular Surgery, LLC 14 clinicians

Practice addresses (Care Compare)

4001 Laurel St
Suite 204
Anchorage, AK 99508-5300
Phone (907) 562-8346

Hospital & facility affiliations

  • Mat-Su Regional Medical Center Hospital, Palmer, AK, CCN 020006

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211012001511 AK Practitioner - Nurse Practitioner 4688072234 Reassigns benefits to 3 organizations
I20260626004811 ID Practitioner - Nurse Practitioner 4688072234 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
182046AKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alyeska Vascular Surgery LLC CurrentSince Dec 2, 2024 Accepting new patients
Mat-Su Valley Medical Center LLC CurrentSince Jul 5, 2021 Accepting new patients
Mat Su Valley Medical Center LLC CurrentSince Jul 5, 2021 Accepting new patients
Mat-Su Valley III LLC Current Accepting new patients
Mat-Su Valley III LLC CurrentSince Jul 5, 2021 Accepting new patients
Mat-Su Valley III LLC CurrentSince Jul 5, 2021 Accepting new patients
Alaska Imaging Associates, LLC Past Accepting new patients

Locations

2751 Debarr Rd
#328
Anchorage, AK 99508
Phone (907) 562-8346

4001 Laurel St
Ste 204
Anchorage, AK 99508
Phone (907) 561-1426

2500 S Woodworth Loop
Palmer, AK 99645
Phone (907) 861-6000

2490 S Woodworth Loop
Ste 250
Palmer, AK 99645
Phone (907) 861-6700

2480 S Woodworth Loop
Ste 120
Palmer, AK 99645

2490 S Woodworth Loop
Ste 200
Palmer, AK 99645
Phone (907) 746-7747

950 E Bogard Rd
Wasilla, AK 99654
Phone (907) 352-2880

950 E Bogard Rd
Ste 207
Wasilla, AK 99654
Phone (907) 357-9444

Interoperability endpoints

  • Direct secure messaging: jessica.bray.1@2839.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ALYVAS

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9181316 ID
Nurse Practitioner 363L00000X 182046 AK Primary

Addresses

NPPES NPI Registry

Primary practice location

2490 S Woodworth Loop Ste 200
Palmer, AK 99645-7410

Mailing address

3133 E Whispering Woods Dr
Wasilla, AK 99654-7467
Phone (406) 781-3603

Other practice location 1

700 W Ironwood Dr Ste 350
Coeur D Alene, ID 83814-4487
Phone (208) 625-5222

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address jessica.bray.1@2839.direct.athenahealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 15, 2026.

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1104590751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 E WHISPERING WOODS DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547467",
            "telephone_number": "406-781-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 S WOODWORTH LOOP STE 200",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457410",
            "telephone_number": "907-861-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 W Ironwood Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838144487",
            "country_code": "US",
            "telephone_number": "208-625-5222",
            "fax_number": "208-625-5223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAY",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "9181316",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "182046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.bray.1@2839.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "2490 S Woodworth Loop Ste 250",
            "city": "Palmer",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996457407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

Verify at the official NPI Registry.