Individual provider Active NPI

Charisa Doherty, NP

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1376435065
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
238664 Issued in AK
Practice address
3835 Spenard Rd
Anchorage, AK 99517-2678
Phone
(907) 274-9355
NPI assigned
Jul 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 238664 AK
Family Nurse Practitioner 363LF0000X 238664 AK Primary

Addresses

Primary practice location

3835 Spenard Rd
Anchorage, AK 99517-2678

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7211

Other practice location 1

2480 S Woodworth Loop Ste 150
Palmer, AK 99645-7408
Phone (907) 861-6312

Other practice location 2

209 W Evergreen Ave Ste B
Palmer, AK 99645-6952
Phone (907) 861-1400

Other practice location 3

950 E Bogard Rd Ste 103
Wasilla, AK 99654-7184
Phone (907) 352-2880

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
I20250918003245 AK Practitioner - Nurse Practitioner 4082118328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mat Su Valley Medical Center LLCGroup PAC ID 5698686475, 23 clinicians

Practice addresses (Care Compare)

2480 S Woodworth Loop
Suite 150
Palmer, AK 99645-7408
Phone (907) 861-6312

Hospital & facility affiliations

  • Mat-Su Regional Medical Center Hospital, Palmer, AK, CCN 020006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
238664AKMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mat-Su Valley III LLC Family Current Accepting new patients
Mat Su Valley Medical Center LLC Current Accepting new patients
Mat-Su Valley III LLC CurrentSince Oct 6, 2025 Accepting new patients
Thrive Integrative Medicine Family CurrentSince Jul 22, 2025 Accepting new patients
Thrive Integrative Medicine CurrentSince Jul 22, 2025 Accepting new patients
Mat-Su Valley III LLC CurrentSince Oct 6, 2025 Accepting new patients
Mat-Su Valley Medical Center LLC CurrentSince Oct 6, 2025 Accepting new patients

Locations

3835 Spenard Rd
Anchorage, AK 99517
Phone (907) 274-9355

209 W Evergreen Ave
Ste B
Palmer, AK 99645
Phone (907) 861-1400

2480 S Woodworth Loop
Ste 150
Palmer, AK 99645
Phone (907) 352-2810

950 E Bogard Rd
Ste 207
Wasilla, AK 99654
Phone (907) 357-9444

950 E Bogard Rd
Ste 103
Wasilla, AK 99654
Phone (907) 352-2880

950 E Bogard Rd
Wasilla, AK 99654
Phone (907) 352-2880

Interoperability endpoints

  • Direct secure messaging: charisa.doherty.1@15969.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1376435065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 SPENARD RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995172678",
            "telephone_number": "907-274-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2480 S Woodworth Loop Ste 150",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "996457408",
            "country_code": "US",
            "telephone_number": "907-861-6312",
            "fax_number": "907-861-6322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 W Evergreen Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "996456952",
            "country_code": "US",
            "telephone_number": "907-861-1400",
            "fax_number": "907-861-1405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 E Bogard Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547184",
            "country_code": "US",
            "telephone_number": "907-352-2880",
            "fax_number": "907-352-2885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "CHARISA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AK",
            "license": "238664",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "238664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.