Individual provider Active NPI

Adrienne Jane Johnson, ANP,FNP-BC,APRN, MSN

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1235575788
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1359 Issued in AK
Practice address
1200 Airport Heights Dr Ste 240
Anchorage, AK 99508-2970
Phone
(907) 290-4666
Fax
(907) 921-5151
NPI assigned
May 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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 1359 AK Primary

Addresses

Primary practice location

1200 Airport Heights Dr Ste 240
Anchorage, AK 99508-2970

Mailing address

5598 Kenai Fjords Loop
Anchorage, AK 99502-4047
Phone (907) 952-2296

Other practice location 1

3260 Providence Dr Ste 528C
Anchorage, AK 99508-4608
Phone (907) 290-4666

Other practice location 2

360 Boniface Pkwy Unit A11
Anchorage, AK 99504-4908
Phone (907) 332-2400

Other identifiers 1

IdentifierTypeStateIssuer
1584108MedicaidAK

Other names 1

  • Adrienne Jane Dahlgren Former name

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
I20130813000179 AK Practitioner - Nurse Practitioner 6204078769 Reassigns benefits to 3 organizations
I20200122000303 TX Practitioner - Nurse Practitioner 6204078769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pivotal Care Partnership LLCGroup PAC ID 2264966779, 2 clinicians
Dialysis Associates of Alaska, LLCGroup PAC ID 1456345123, 13 clinicians

Practice addresses (Care Compare)

1200 Airport Heights Dr
Suite 240
Anchorage, AK 99508-2970
Phone (907) 375-2025

3260 Providence Dr
Suite C431
Anchorage, AK 99508-4661
Phone (907) 212-4840

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Dec 16, 2019 Accepting new patients
Pivotal Care Partnership LLC CurrentSince Nov 14, 2024 Accepting new patients
Dialysis Associates of Alaska, LLC CurrentSince Oct 3, 2023 Accepting new patients
Kidney and Hypertension Clinic of Alaska, Inc CurrentSince Mar 16, 2015 Accepting new patients
Nephrology & Hypertension Associates of Alaska, PC PastSince Oct 3, 2023 Accepting new patients

Locations

3260 Providence Dr
Ste C431
Anchorage, AK 99508
Phone (907) 212-4840

4015 Lake Otis Pkwy
Ste 101
Anchorage, AK 99508

1200 Airport Heights Dr
Ste 240
Anchorage, AK 99508
Phone (907) 278-2070

360 Boniface Pkwy
Unit A11
Anchorage, AK 99504
Phone (907) 332-2400

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4015 Lake Otis Pkwy
Ste 201
Anchorage, AK 99508
Phone (907) 771-3500

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22716/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/22880/brand/1/csg/1/fhir/r4
  • Direct secure messaging: adrienne.johnson.1@22880.direct.athenahealth.com
  • Direct secure messaging: ajohnson29424@direct.acumenmd.com

Organizations & group practices 5

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": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1235575788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5598 KENAI FJORDS LOOP",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024047",
            "telephone_number": "907-952-2296",
            "fax_number": "907-921-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DR STE 240",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082970",
            "telephone_number": "907-290-4666",
            "fax_number": "907-921-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3260 Providence Dr Ste 528C",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084608",
            "country_code": "US",
            "telephone_number": "907-290-4666",
            "fax_number": "907-921-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Boniface Pkwy Unit A11",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995044908",
            "country_code": "US",
            "telephone_number": "907-332-2400",
            "fax_number": "907-332-2405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ADRIENNE",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "ANP,FNP-BC,APRN, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "1359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1584108",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "DAHLGREN",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.