Individual provider Active NPI

Carlene Ann Mott, FNP-BC

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1295465797
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
895242 Issued in NV
Practice address
9150 Jewel Lake Rd Ste B
Anchorage, AK 99502-5337
Phone
(907) 248-8561
Fax
(907) 248-8563
NPI assigned
Jun 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X PENDING MO
Family Nurse Practitioner 363LF0000X 895242 NV Primary
Family Nurse Practitioner 363LF0000X 197411 AK

Addresses

Primary practice location

9150 Jewel Lake Rd Ste B
Anchorage, AK 99502-5337

Mailing address

9150 Jewel Lake Rd Ste B
Anchorage, AK 99502-5337
Phone (907) 248-8561

Other identifiers 2

IdentifierTypeStateIssuer
NONEOtherNONE
PENDINGOtherMOPENDING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, NV2 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
I20230221002083 AK Practitioner - Nurse Practitioner 0446622419 Reassigns benefits to 1 organization
I20260421002736 NV Practitioner - Nurse Practitioner 0446622419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5080 Spectrum Dr
Suite 1200W
Addison, TX 75001-6443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
895242NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Medical Clinic, PC CurrentSince Feb 11, 2023 Accepting new patients

Locations

9150 Jewel Lake Rd
Ste B
Anchorage, AK 99502
Phone (907) 248-8561

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": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1295465797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 JEWEL LAKE RD STE B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995025337",
            "telephone_number": "907-248-8561",
            "fax_number": "907-248-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 JEWEL LAKE RD STE B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995025337",
            "telephone_number": "907-248-8561",
            "fax_number": "907-248-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTT",
        "first_name": "CARLENE",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "895242",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "197411",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENDING",
            "identifier": "PENDING",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.