Ericka C Mulder, ANP, RN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1166 Issued in AK

Practice address

3260 Providence Dr
Suite 425
Anchorage, AK 99508-4661

Phone

(907) 561-7111

Fax

(907) 770-7891

NPI assigned

Feb 22, 2008

Last updated

Dec 2, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Anchorage Women's Clinic, LLC

  • Obstetrics & Gynecology Physician
  • Anchorage, AK
  • NPI 1265496061
  Medicare reassignment
• Obhg Alaska, P.C.

  • Obstetrics & Gynecology Physician
  • Anchorage, AK
  • NPI 1740697069
  NPD (past)

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1346419413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 PROVIDENCE DR",
            "address_2": "SUITE 425",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084661",
            "telephone_number": "907-561-7111",
            "fax_number": "907-770-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 PROVIDENCE DR",
            "address_2": "SUITE 425",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084661",
            "telephone_number": "907-561-7111",
            "fax_number": "907-770-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULDER",
        "first_name": "ERICKA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "ANP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-22",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "1166",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "12754",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "12754",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Royce Kenston Mueller, PH.D.
• John Cartsen Mues, M.D.
• Chantele Muffoletto, PHARMD
• John P Muffoletto, M.D.
• Evelyn Patricia Mujica-Larson, LPC, CRC, CDCI
• Muldoon ASC LLC
• Muldoon Dental LLC
• Muldoon Development Partners, LLC (Tudor Dialysis)
• Matthew W Mulhern
• Mulholland Chiropractic Center, LLC

• Nurse Practitioner in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.