Individual provider Active NPI

Laura Evans

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1245597459
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1287 Issued in AK
Practice address
1455 NW Irving St Ste 600
Portland, OR 97209-2277
Phone
(844) 966-6463
NPI assigned
Apr 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201350043NP OR
Family Nurse Practitioner 363LF0000X 1287 AK Primary

Addresses

Primary practice location

1455 NW Irving St Ste 600
Portland, OR 97209-2277

Mailing address

1389 Huffman Road
#150
Anchorage, AK 99515
Phone (888) 227-3312

Other practice location 1

1867 Airport Way Ste 130B
Fairbanks, AK 99701-4056
Phone (907) 452-2178

Other practice location 2

1389 Huffman Road
#150
Anchorage, AK 99515
Phone (888) 227-3312

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address levans1164240@ak.providencedirect.org

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
I20200110000719 AK Practitioner - Nurse Practitioner 6800221326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arctic Medical CenterGroup PAC ID 1557798634, 3 clinicians

Practice addresses (Care Compare)

218 W 34TH Ave
Anchorage, AK 99503-3977
Phone (907) 290-5500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1287AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Health Center LLC CurrentSince Nov 1, 2020 Accepting new patients
Arctic Medical Center CurrentSince Mar 24, 2025 Accepting new patients

Locations

3330 Eagle St
Anchorage, AK 99503
Phone (907) 501-2330

218 W 34th Ave
Anchorage, AK 99503
Phone (907) 290-5500

Organizations & group practices 2

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": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1245597459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 HUFFMAN ROAD",
            "address_2": "#150",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99515",
            "telephone_number": "888-227-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 NW IRVING ST STE 600",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092277",
            "telephone_number": "844-966-6463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1867 Airport Way Ste 130B",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997014056",
            "country_code": "US",
            "telephone_number": "907-452-2178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1389 Huffman Road",
            "address_2": "#150",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "99515",
            "country_code": "US",
            "telephone_number": "888-227-3312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-12",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201350043NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "1287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "levans1164240@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "1389 Huffman Road",
            "address_2": "#150",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "99515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.