Connie Louise Chevalier, ANP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Anchorage, AK
NPI 1316992191 · NPPES record last updated Mar 26, 2019
Key facts
- NPI
- 1316992191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 837 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
1400 W Benson Blvd
Suite 315
Anchorage, AK 99503-3677
Phone (907) 929-4009
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060526000091 | AK | Practitioner - Nurse Practitioner | 1850302100 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 837 | AK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greatland Mental Health, LLC | Current |
Accepting new patients | |
| Providence Health & Services- Washington | Past |
Accepting new patients |
Locations
1400 W Benson Blvd
Ste 315
Anchorage, AK 99503
Phone (907) 929-4009
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 837 | AK | Yes |
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
Other providers in Anchorage, AK
- Teresa Ann Cherry
- Lovely Chervang
- Cheryl'S Place Assisted Living LLC
- Danae Chesney
- John Chesney
- Sharon Lynn Chevalier
- Ramsey Chew
- Hanbit CHI
- Chloe Child
- Monique L. Child
All providers in Anchorage, AK · Psychiatric/Mental Health Nurse Practitioner in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.