Individual provider Active NPI

Mattisen Rose Sept Ziegler, FNP-C

  • Acute Care Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1407684830
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
227114 Issued in AK
Practice address
1389 Huffman Park Dr Ste 110
Anchorage, AK 99515-3519
Phone
(888) 227-3312
Fax
(503) 893-6847
NPI assigned
Jul 25, 2024
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 227114 AK Primary
Family Nurse Practitioner 363LF0000X 227114 AK
Primary Care Nurse Practitioner 363LP2300X 227114 AK

Addresses

Primary practice location

1389 Huffman Park Dr Ste 110
Anchorage, AK 99515-3519

Mailing address

PO Box 2928
Portland, OR 97208-2928
Phone (425) 207-5155

Other practice location 1

1389 Huffman Park Dr Ste 110
Anchorage, AK 99515-3519
Phone (888) 227-3312

Other names 1

  • Mattisen Rose Sept Former name

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
I20240909002511 AK Practitioner - Nurse Practitioner 7911447693 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Express Care Or PCGroup PAC ID 1254768732, 60 clinicians
Express Care Ak LLCGroup PAC ID 2163855032, 16 clinicians
Express Care Wa PCGroup PAC ID 6800128067, 64 clinicians

Practice addresses (Care Compare)

1389 Huffman Park Dr
Suite 110
Anchorage, AK 99515-3519
Phone (888) 227-3312

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227114AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Express Care Or PC CurrentSince May 19, 2025 Accepting new patients
Express Care Ak LLC CurrentSince Sep 1, 2024 Accepting new patients
Express Care Wa PC CurrentSince May 19, 2025 Accepting new patients
Express Care Ak LLC PastSince Apr 19, 2020 Accepting new patients

Locations

1118 N Muldoon Rd
Ste 130
Anchorage, AK 99504

1389 Huffman Park Dr
Ste 110
Anchorage, AK 99515

2900 Seward Hwy
Ste D
Anchorage, AK 99503

Organizations & group practices 4

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.

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": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1407684830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2928",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972082928",
            "telephone_number": "425-207-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 HUFFMAN PARK DR STE 110",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153519",
            "telephone_number": "888-227-3312",
            "fax_number": "503-893-6847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1389 Huffman Park Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995153519",
            "country_code": "US",
            "telephone_number": "888-227-3312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIEGLER",
        "first_name": "MATTISEN",
        "middle_name": "ROSE SEPT",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AK",
            "license": "227114",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "227114",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AK",
            "license": "227114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTISEN",
            "last_name": "SEPT",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.