Marilyn Vink, APRN
Individual provider Active NPI Family Nurse Practitioner · Wasilla, AK
NPI 1356041685 · NPPES record last updated Apr 17, 2023
Key facts
- NPI
- 1356041685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 205713 (AK)
- Practice address
- 5000 E Shennum Dr
Wasilla, AK 99654-7718 - Phone
- (907) 373-3420
- NPI assigned
- Mar 6, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Camai Community Health Center Inc
Mat-Su Midwifery Inc
Practice addresses (Care Compare)
2 School Rd
Naknek, AK 99633-0211
Phone (907) 246-6155
5000 E Shennum Dr
Wasilla, AK 99654-7718
Phone (907) 373-3420
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 |
|---|---|---|---|---|
| I20230815003429 | AK | Practitioner - Nurse Practitioner | 7719349281 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128403 | AK | MD | General Practice Registered Nurse |
| 205713 | AK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mat-Su Midwifery Inc | Current |
Accepting new patients | |
| Camai Community Health Center, Inc. | Current |
Accepting new patients | |
| Bristol Bay Borough | Past | Accepting new patients | |
| Mat-Su Birth Center, LLC | Past |
Accepting new patients | |
| Alaska Imaging Associates, LLC | Past | Accepting new patients |
Locations
5000 E Shennum Dr
Wasilla, AK 99654
Phone (907) 373-3420
Interoperability endpoints
- https://api.platform.athenahealth.com/20726/brand/1/csg/1/fhir/r4
- marilyn.vink.1@20726.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 128403 | AK | |
| Family Nurse Practitioner | 363LF0000X | 205713 | AK | Yes |
Addresses
Primary practice location
5000 E Shennum Dr
Wasilla, AK 99654-7718
Mailing address
5000 E Shennum Dr
Wasilla, AK 99654-7718
Phone (907) 373-3420
Other providers in Wasilla, AK
- Joseph Charles Vickrey
- Kylie Jane Viens
- Autum Lynn Vigdahl
- Ivy Villani
- Ty R Vincent
- Ashlee Marie Vinson
- Cassandra G Vinson
- Dawn K Vogt
- Leann Vollmers
- Michael Thomas Von Ah
All providers in Wasilla, AK · Family 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 Apr 17, 2023. 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.