Individual provider Active NPI

Melanie Lynn Boles, CRNP

  • Adult Health Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1255510657
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
138204 Issued in AK
Practice address
3851 Piper St Ste U340
Anchorage, AK 99508-6904
Phone
(907) 562-0321
Fax
(907) 562-2683
NPI assigned
Nov 1, 2007
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 138204 AK Primary

Addresses

Primary practice location

3851 Piper St Ste U340
Anchorage, AK 99508-6904

Mailing address

3851 Piper St Ste U340
Anchorage, AK 99508-6904
Phone (334) 273-7000

Other practice location 1

12001 Business Blvd Ste 3C
Eagle River, AK 99577-7993
Phone (907) 562-0321

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
I20191007001886 AK Practitioner - Nurse Practitioner 2769524495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katmai Oncology Group LLCGroup PAC ID 3072400498, 11 clinicians

Practice addresses (Care Compare)

3851 Piper St
Suite U340
Anchorage, AK 99508-6904
Phone (907) 562-0321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.97 of 100Reported as group
Quality
78.4
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
138204AKMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Katmai Oncology Group, LLC CurrentSince Aug 1, 2019 Accepting new patients
Katmai Oncology Group, LLC CurrentSince Aug 1, 2019 Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients

Locations

3851 Piper St
Ste U340
Anchorage, AK 99508
Phone (907) 562-0321

12001 Business Blvd
Ste 3C
Eagle River, AK 99577
Phone (907) 562-0321

Interoperability endpoints

  • Direct secure messaging: melanie.boles@katmai.ikm.direct-ci.com

Organizations & group practices 3

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.

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": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1255510657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 PIPER ST STE U340",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086904",
            "telephone_number": "334-273-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 PIPER ST STE U340",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086904",
            "telephone_number": "907-562-0321",
            "fax_number": "907-562-2683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12001 Business Blvd Ste 3C",
            "address_purpose": "LOCATION",
            "city": "Eagle River",
            "state": "AK",
            "postal_code": "995777993",
            "country_code": "US",
            "telephone_number": "907-562-0321",
            "fax_number": "907-562-2683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLES",
        "first_name": "MELANIE",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AK",
            "license": "138204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.