Individual provider Active NPI

Isabel Vesely

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1326525155
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
135206 Issued in AK
Practice address
6307 Debarr Rd Ste C
Anchorage, AK 99504-1783
Phone
(907) 333-7425
NPI assigned
Jul 24, 2018
Last updated
Jul 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 135206 AK Primary

Addresses

Primary practice location

6307 Debarr Rd Ste C
Anchorage, AK 99504-1783

Mailing address

6307 Debarr Rd Ste C
Anchorage, AK 99504-1783
Phone (907) 333-7425

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
I20190329000693 AK Practitioner - Nurse Practitioner 1254671217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

10928 Eagle River Rd
Suite 150
Eagle River, AK 99577-8078
Phone (907) 694-8085

3831 Piper St
Suite S220
Anchorage, AK 99508-4680
Phone (907) 212-3420

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Dec 2, 2024 Accepting new patients
Providence Health & Services-Washington CurrentSince Dec 2, 2024 Accepting new patients

Locations

1200 W Northern Lights Blvd
Ste A
Anchorage, AK 99503
Phone (907) 212-2090

3831 Piper St
Ste S220
Anchorage, AK 99508
Phone (907) 212-3420

6307 Debarr Rd
Ste C
Anchorage, AK 99504
Phone (907) 333-7425

920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200

Interoperability endpoints

  • Direct secure messaging: ivesely139224@ak.providencedirect.org

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.

Hospital & facility affiliations 4

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": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1326525155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 DEBARR RD STE C",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041783",
            "telephone_number": "907-333-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6307 DEBARR RD STE C",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041783",
            "telephone_number": "907-333-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESELY",
        "first_name": "ISABEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "135206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.