Laura Ann Henneker, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

138454 Issued in AK

Practice address

PO Box 160
Cordova, AK 99574-0160

Phone

(907) 424-8000

Fax

(907) 424-8116

NPI assigned

Dec 27, 2006

Last updated

Aug 27, 2024By 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 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cordova Community Medical CenterGroup PAC ID 1759275902, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cordova Community Medical Center Hospital, Cordova, AK, CCN 021307
• Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/cordova-527880fe

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.

• Cordova Community Medical Center

  • Critical Access Hospital
  • Cordova, AK
  • NPI 1215035787
  Medicare reassignment Care Compare group NPD
• Feather River Hospital

  dba Adventist Health Feather River

  • General Acute Care Hospital
  • Paradise, CA
  • NPI 1518940667
  NPD (past)
• Feather River Hospital

  dba Feather River Home Oxygen-Chico

  • Oxygen Equipment & Supplies (DME)
  • Chico, CA
  • NPI 1932583622
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cordova Community Medical Center

  • Critical Access Hospital
  • Cordova, AK
  • NPI 1215035787
  Care Compare affiliation
• Providence Health & Services Washington

  dba Providence Alaska Medical Center

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119
  Care Compare affiliation

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1376608489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 SKYWAY",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959695624",
            "telephone_number": "530-872-2000",
            "fax_number": "530-876-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "CORDOVA",
            "state": "AK",
            "postal_code": "995740160",
            "telephone_number": "907-424-8000",
            "fax_number": "907-424-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNEKER",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "138454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyce L Garrity, MD
• Steve T Goniotakis, PAC
• Melissa Guy
• Benjamin Head, MD
• Carly Heidenreich
• Joan Catherine Herschleb
• Aaron Jeffrey Holm, RT-R
• Brian Iutzi, M.D.
• Barbara Frances Marie Jewell, MPA
• Elizabeth King, LPC

• Family Nurse Practitioner in Cordova, AK
• Providers in Cordova, AK by specialty
• Family Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.
• 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.

Verify at the official NPI Registry.