Individual provider Active NPI

Maureen Ann Horner, ANP-C

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1205923570
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
645 Issued in AK
Practice address
207 E Northern Lights Blvd Ste 208
Anchorage, AK 99503-2731
Phone
(907) 952-0770
Fax
(907) 644-3221
NPI assigned
Oct 6, 2006
Last updated
Apr 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 645 AK Primary

Addresses

Primary practice location

207 E Northern Lights Blvd Ste 208
Anchorage, AK 99503-2731

Mailing address

2621 Curlew Cir
Anchorage, AK 99502-1656
Phone (907) 952-0770

Other identifiers 1

IdentifierTypeStateIssuer
NP9201MedicaidAK

Other names 1

  • Ms. Maureen Ann Brown Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 9076443221 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2019 through Jul 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
645AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar Health and Wellness Aesthetics and Beauty, LLC Family Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1205923570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 CURLEW CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995021656",
            "telephone_number": "907-952-0770",
            "fax_number": "907-563-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E NORTHERN LIGHTS BLVD STE 208",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032731",
            "telephone_number": "907-952-0770",
            "fax_number": "907-644-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNER",
        "first_name": "MAUREEN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ANP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP9201",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "9076443221",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2621 Curlew Cir",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995021656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "BROWN",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "ANP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.