Individual provider Active NPI

Jessica Price, FNP-C

  • Family Nurse Practitioner
  • Metlakatla, AK
National Provider Identifier
1124782537
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
230682 Issued in AK
Practice address
563 Brendible Street
Metlakatla, AK 99926-0013
Phone
(907) 886-2088
Fax
(907) 886-5831
NPI assigned
Oct 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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 1057392 TX
Family Nurse Practitioner 363LF0000X 230682 AK Primary

Addresses

Primary practice location

563 Brendible Street
Metlakatla, AK 99926-0013

Mailing address

PO Box 13
Metlakatla, AK 99926-0013
Phone (907) 886-2088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241125002154 TX Practitioner - Nurse Practitioner 4789119959 Reassigns benefits to 1 organization

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
Metlakatla Indian CommunityGroup PAC ID 5890691315, 19 clinicians

Practice addresses (Care Compare)

563 Brendible St
Metlakatla, AK 99926
Phone (907) 886-4741

P O Box
Suite 439
Metlakatla, AK 99926-0439

PO Box
Suite 439
Metlakatla, AK 99926

PO Box
Suite 439
Metlakatla, AK 99926-0439

Hospital & facility affiliations

  • Peacehealth Ketchikan Medical Center Hospital, Ketchikan, AK, CCN 021311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230682AKMDFamily Nurse Practitioner
1057392TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metlakatla Indian Community CurrentSince Oct 23, 2024 Accepting new patients
TX Private Practice LLC PastSince Nov 28, 2021 Accepting new patients
Sandcastle Pediatrics LLC PastSince Jan 1, 2022 Accepting new patients

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1124782537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "city": "METLAKATLA",
            "state": "AK",
            "postal_code": "999260013",
            "telephone_number": "907-886-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 BRENDIBLE STREET",
            "city": "METLAKATLA",
            "state": "AK",
            "postal_code": "999260013",
            "telephone_number": "907-886-2088",
            "fax_number": "907-886-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JESSICA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1057392",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "230682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metlakatla, AK

Sources for this page

Verify at the official NPI Registry.