Mary Ann Egbert, ANP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

580 Issued in AK

Practice address

12812 Old Glenn Hwy
Eagle River, AK 99577-7558

Phone

(907) 622-9675

Fax

(907) 622-9676

NPI assigned

Nov 6, 2007

Last updated

Nov 6, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Health Works Family Medical Clinic Inc

  • Family Nurse Practitioner
  • Eagle River, AK
  • NPI 1679772735
  Authorized official Same address or phone
• Alaska Medical Clinics, LLC

  dba Wasilla Medical Clinic

  • Urgent Care Clinic/Center
  • Wasilla, AK
  • NPI 1316015480
  NPD (past)
• Health Works Family Med Clinic Inc.

  • Nurse Practitioner
  • Eagle River, AK
  • NPI 1679571640
  NPD (past)
• Heart of Eagle River Medical Clinic

  • Family Medicine Physician
  • Eagle River, AK
  • NPI 1033277041
  NPD (past)

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1174703268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12812 OLD GLENN HWY",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777558",
            "telephone_number": "907-622-9675",
            "fax_number": "907-622-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12812 OLD GLENN HWY",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777558",
            "telephone_number": "907-622-9675",
            "fax_number": "907-622-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBERT",
        "first_name": "MARY ANN",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle River Vision Clinic Inc
• Eagle Summit Dental Group
• Claudia Cook Eaves, M.S.
• Carey Ecker, CDC I
• Natalie Elaine Efird, MASSAGE THERAPIST
• Brittany Ellana Eibeck
• Lindsay Rachel Ekiss, ANP
• Samantha D Elliot, LMT
• Thomas Joseph Elton, M.D.
• Enghirst Corporation (Eagle River Smiles)

• Nurse Practitioner in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.