Individual provider Active NPI

Ellen Lentz, ANP

  • Nurse Practitioner
  • Wasilla, AK
National Provider Identifier
1306949193
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
16188 Issued in AK
Practice address
5461 Mayflower #4
Wasilla, AK 99654
Phone
(907) 376-4644
Fax
(907) 745-0226
NPI assigned
Sep 6, 2006
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 16188 AK Primary

Addresses

Primary practice location

5461 Mayflower #4
Wasilla, AK 99654

Mailing address

5461 E Mayflower LN Ste 4
Wasilla, AK 99654-7892
Phone (907) 531-2496

Other identifiers 2

IdentifierTypeStateIssuer
16188OtherAKLICENSE NUMBER
NP0554MedicaidAK

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
I20070921000683 AK Practitioner - Nurse Practitioner 8527152461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Seasons Family Healthcare LLCGroup PAC ID 3779653720, 3 clinicians

Practice addresses (Care Compare)

5461 E Mayflower LN
Suite 4
Wasilla, AK 99654-7892
Phone (907) 376-4644

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
554AKMDClinical Social Worker
16188AKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All Seasons Family Healthcare LLC CurrentSince Mar 3, 2008 Accepting new patients
All Seasons Family Health Care PastSince Mar 3, 2008 Accepting new patients
Family Health Center, PC PastSince Mar 1, 2003 Accepting new patients

Locations

5461 E Mayflower Ln
Ste 4
Wasilla, AK 99654
Phone (907) 376-4644

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1306949193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5461 E MAYFLOWER LN STE 4",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547892",
            "telephone_number": "907-531-2496",
            "fax_number": "866-493-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 MAYFLOWER #4",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "907-376-4644",
            "fax_number": "907-745-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTZ",
        "first_name": "ELLEN",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "16188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "16188",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0554",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

Verify at the official NPI Registry.