Amber Wellner, ANP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

182093 Issued in AK

Practice address

717 E Rezanof Dr
Kodiak, AK 99615-6416

Phone

(907) 244-2274

NPI assigned

Aug 5, 2021

Last updated

Jan 12, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AK

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Providence Health and Services WashingtonGroup PAC ID 0547152217, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: awellner1652093@ak.providencedirect.org

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.

• Providence Health & Services Washington

  dba Providence Kodiak Island Counseling Center

  • Community/Behavioral Health Agency
  • Kodiak, AK
  • NPI 1477563344
  Medicare reassignment Care Compare group
• City of Valdez

  dba Providence Valdez Medical Center

  • Critical Access Hospital Clinic/Center
  • Valdez, AK
  • NPI 1427424282
  Medicare reassignment NPD
• Providence Health & Services Washington

  dba Providence Kodiak Island Medical Center

  • Emergency Medical Services (Emergency Medicine) Physician
  • Kodiak, AK
  • NPI 1952430902
  Medicare reassignment NPD
• City of Valdez

  dba Providence Valdez Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Valdez, AK
  • NPI 1962525097
  Medicare reassignment
• Providence Health & Services - Washington

  dba Providence Kodiak Home Health

  • Home Health Agency
  • Kodiak, AK
  • NPI 1891899597
  NPD

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1215601877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3290",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083290",
            "telephone_number": "866-907-1068",
            "fax_number": "425-917-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 E REZANOF DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156416",
            "telephone_number": "907-244-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLNER",
        "first_name": "AMBER",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "182093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awellner1652093@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "717 E Rezanof Dr",
            "city": "Kodiak",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996156416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Walmart Inc. (Walmart Pharmacy 10-2711)
• Laura Marie Walters, MD
• Summer Walters
• Joanne Marie Ward, CHA-P
• Jennifer Weaver, MMT, LMT, CPT
• Nancy Jean Wells
• Ann-Marie West, RN
• Anna Marie Wheeler
• Desiree Alexis Wheeler, OD
• Roxann Marie White, MSPT

• Psychiatric/Mental Health Nurse Practitioner in Kodiak, AK
• Providers in Kodiak, AK by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.