Individual provider Active NPI

Nikki Marie McDermott, APRN- FNP & PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wasilla, AK
National Provider Identifier
1245198449
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
223538 Issued in AK
Practice address
1689 S Knik Goose Bay Rd Ste 700
Wasilla, AK 99654-8088
Phone
(907) 841-8663
Fax
(907) 357-0115
NPI assigned
Jan 14, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 223538 AK
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 223538 AK Primary

Addresses

Primary practice location

1689 S Knik Goose Bay Rd Ste 700
Wasilla, AK 99654-8088

Mailing address

1689 S Knik Goose Bay Rd Ste 700
Wasilla, AK 99654-8088
Phone (907) 841-8663

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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
223538AKMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Byers Anp LLC Multi-Specialty CurrentSince Jun 27, 2026 Accepting new patients

Locations

1689 S Knik Goose Bay Rd
Ste 700
Wasilla, AK 99654
Phone (907) 841-8663

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1245198449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1689 S KNIK GOOSE BAY RD STE 700",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548088",
            "telephone_number": "907-841-8663",
            "fax_number": "907-357-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 S KNIK GOOSE BAY RD STE 700",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548088",
            "telephone_number": "907-841-8663",
            "fax_number": "907-357-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "NIKKI",
        "middle_name": "MARIE",
        "credential": "APRN- FNP & PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "223538",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "223538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

Verify at the official NPI Registry.