Individual provider Active NPI

Kristerra Nicole Yawea, DNP, APRN, PMHNP, BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1154897429
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
138379 Issued in AK
Practice address
4341 Tudor Centre Dr Ste 300
Anchorage, AK 99508-5904
Phone
(907) 729-2500
NPI assigned
Oct 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 138379 AK Primary

Addresses

Primary practice location

4341 Tudor Centre Dr Ste 300
Anchorage, AK 99508-5904

Mailing address

7033 E Tudor Rd
Anchorage, AK 99507-1262
Phone (907) 729-9989

Other practice location 1

3760 Piper Street Suite 1108
Anchorage, AK 99508
Phone (907) 212-6970

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kyawea1154617@ak.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX2 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
I20190104002763 AK Practitioner - Nurse Practitioner 3971849365 Reassigns benefits to 2 organizations
I20240703000635 TX Practitioner - Nurse Practitioner 3971849365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southcentral FoundationGroup PAC ID 5496663627, 168 clinicians

Practice addresses (Care Compare)

4130 San Ernesto Ave
Anchorage, AK 99508-2875
Phone (907) 729-6799

Hospital & facility affiliations

  • Alaska Native Medical Center Hospital, Anchorage, AK, CCN 020026

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
91.39
Promoting interoperability
95
Improvement activities
40
Cost
100

Merit-based Incentive Payment System (MIPS)

Final score
91.77 of 100Reported as group
Quality
76.11
Promoting interoperability
100
Improvement activities
40
Cost
79.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
138379AKMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Jun 1, 2024 Accepting new patients
Southcentral Foundation Current Accepting new patients
Sokyahealth Medical Group PC Psychiatric/Mental Health CurrentSince Feb 28, 2025 Accepting new patients
Southcentral Foundation CurrentSince Jun 1, 2024 Accepting new patients
Achieve Medical Alaska LLC CurrentSince Feb 28, 2025 Accepting new patients
Southcentral Foundation CurrentSince Jun 1, 2024 Accepting new patients

Locations

7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000

4130 San Ernesto Ave
#A
Anchorage, AK 99508
Phone (907) 729-5070

2741 Debarr Rd
Ste 411
Anchorage, AK 99508
Phone (907) 331-0140

1917 Abbott Rd
Ste 101
Anchorage, AK 99507
Phone (907) 440-4420

4341 Tudor Dr
Ste 300
Anchorage, AK 99508
Phone 9077292500 ext. 6170

4130 San Ernesto Ave
Anchorage, AK 99508
Phone (907) 729-5070

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000

1981 E Palmer Wasilla Hwy
Ste 200
Wasilla, AK 99654
Phone (855) 205-5809

Interoperability endpoints

  • Direct secure messaging: kyawea1154617@ak.providencedirect.org
  • Direct secure messaging: kristerra.yawea.p1@direct.sokya.nextgenshare.com

Organizations & group practices 6

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1154897429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071262",
            "telephone_number": "907-729-9989",
            "fax_number": "907-729-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 TUDOR CENTRE DR STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085904",
            "telephone_number": "907-729-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3760 Piper Street Suite 1108",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "99508",
            "country_code": "US",
            "telephone_number": "907-212-6970",
            "fax_number": "907-212-6971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAWEA",
        "first_name": "KRISTERRA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "DNP, APRN, PMHNP, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "138379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyawea1154617@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "3760 Piper St Ste 1108",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995084683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.