Active NPI
Patricia B Payne, ANP
- Nurse Practitioner
- Wasilla, AK
National Provider Identifier
1346776150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 121579
- Practice address
- 950 E Bogard Rd
Suite #228
Wasilla, AK 99654-7184 - Phone
- (907) 376-8938
- Fax
- (907) 376-8939
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 121579 | AK | Primary |
Addresses
Primary practice location
950 E Bogard Rd
Suite #228
Wasilla, AK 99654-7184
Mailing address
PO Box 871830
Wasilla, AK 99687-1830
Phone (907) 376-8938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.18 of 100
- Quality
- 71.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Still Waters Psychiatry LLC | Current | Accepting new patients | |
| Atlas Medical Alaska LLC | Current | Accepting new patients |
Locations
950 E Bogard Rd
Ste 228
Wasilla, AK 99654
Phone (907) 376-2868
Interoperability endpoints
- patriciapayne@jbim-ak.direct.office.nextgen.com
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 and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Wasilla, AK
- NPI 1255274445
-
- Internal Medicine Physician
- Wasilla, AK
- NPI 1376213207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1346776150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 871830",
"city": "WASILLA",
"state": "AK",
"postal_code": "996871830",
"telephone_number": "907-376-8938",
"fax_number": "907-376-8939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 E BOGARD RD",
"address_2": "SUITE #228",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547184",
"telephone_number": "907-376-8938",
"fax_number": "907-376-8939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "PATRICIA",
"middle_name": "B",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AK",
"license": "121579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.