Individual provider Active NPI

Connie Louise Chevalier, ANP

  • Psychiatric/Mental Health Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1316992191
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
837 Issued in AK
Practice address
1400 W Benson Blvd Ste 315
Anchorage, AK 99503-3677
Phone
(907) 929-4009
Fax
(907) 929-4902
NPI assigned
May 23, 2006
Last updated
Mar 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 837 AK Primary

Addresses

Primary practice location

1400 W Benson Blvd Ste 315
Anchorage, AK 99503-3677

Mailing address

1401 Latouche St # 2
Anchorage, AK 99501-5526
Phone (907) 227-5353

Other practice location 1

4020 Folker St
Anchorage, AK 99508-5321
Phone (907) 563-1000

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
I20060526000091 AK Practitioner - Nurse Practitioner 1850302100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greatland Mental Health LLCGroup PAC ID 4385794437, 12 clinicians

Practice addresses (Care Compare)

1400 W Benson Blvd
Suite 315
Anchorage, AK 99503-3677
Phone (907) 929-4009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
837AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greatland Mental Health, LLC CurrentSince Feb 5, 2018 Accepting new patients
Providence Health & Services- Washington PastSince Jan 10, 2017 Accepting new patients

Locations

1400 W Benson Blvd
Ste 315
Anchorage, AK 99503
Phone (907) 929-4009

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1316992191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 LATOUCHE ST # 2",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995015526",
            "telephone_number": "907-227-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W BENSON BLVD STE 315",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033677",
            "telephone_number": "907-929-4009",
            "fax_number": "907-929-4902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4020 Folker St",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085321",
            "country_code": "US",
            "telephone_number": "907-563-1000",
            "fax_number": "907-770-8917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEVALIER",
        "first_name": "CONNIE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.