Individual provider Active NPI

Marti Marie Anliker, APRN

  • Family Nurse Practitioner
  • Wasilla, AK
National Provider Identifier
1235843863
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201509 Issued in AK
Practice address
950 E Bogard Rd Ste 103
Wasilla, AK 99654-7184
Phone
(907) 352-2880
NPI assigned
Jan 9, 2023
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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 201509 AK Primary

Addresses

Primary practice location

950 E Bogard Rd Ste 103
Wasilla, AK 99654-7184

Mailing address

2765 N Jenny Anne PL
Wasilla, AK 99654-2106
Phone (605) 641-7080

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL REFERRAL Health Information Exchange (HIE)
Direct Messaging Address marti.anliker.1@2839.direct.athenahealth.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230320001819 AK Practitioner - Nurse Practitioner 2961876636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mat-Su Valley III LLCGroup PAC ID 5496941502, 26 clinicians

Practice addresses (Care Compare)

209 W Evergreen Ave
Palmer, AK 99645-6952

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mat-Su Valley III LLC Family Current Accepting new patients
Mat-Su Valley Medical Center LLC CurrentSince Feb 1, 2023 Accepting new patients
Mat-Su Valley III LLC CurrentSince Feb 1, 2023 Accepting new patients
Mat Su Valley Medical Center LLC Current Accepting new patients
Mat-Su Valley III LLC Past Accepting new patients

Locations

209 W Evergreen Ave
Ste B
Palmer, AK 99645
Phone (907) 861-1400

950 E Bogard Rd
Wasilla, AK 99654
Phone (907) 352-2880

950 E Bogard Rd
Ste 103
Wasilla, AK 99654
Phone (907) 352-2880

950 E Bogard Rd
Ste 207
Wasilla, AK 99654
Phone (907) 357-9444

950 E Bogard Rd
Ste 213
Wasilla, AK 99654
Phone (907) 373-8050

Interoperability endpoints

  • Direct secure messaging: marti.anliker.1@2839.direct.athenahealth.com
  • Direct secure messaging: marti.anliker.2@2839.direct.athenahealth.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, 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": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1235843863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 N JENNY ANNE PL",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996542106",
            "telephone_number": "605-641-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E BOGARD RD STE 103",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547184",
            "telephone_number": "907-352-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANLIKER",
        "first_name": "MARTI",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "201509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "REFERRAL",
            "affiliation": "N",
            "endpointDescription": "REFERRAL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "950 E Bogard Rd Ste 103",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996547184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marti.anliker.1@2839.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "950 E Bogard Rd Ste 103",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996547184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

Verify at the official NPI Registry.