Active NPI
Winifred A Reeve, ANP
- Nurse Practitioner
- Kotzebue, AK
National Provider Identifier
1417075136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 157
- Practice address
- 436 5TH & Ted Stevens Way
Kotzebue, AK 99752-0043 - Phone
- (907) 442-7148
- NPI assigned
- Mar 27, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 5806 | AK | |
| Nurse Practitioner | 363L00000X | 157 | AK | Primary |
Addresses
Primary practice location
436 5TH & Ted Stevens Way
Kotzebue, AK 99752-0043
Mailing address
P.O. Box 43
Kotzebue, AK 99752-0043
Phone (907) 442-7148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP5745 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120201000344 | TX | Practitioner - Nurse Practitioner | 5496912594 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of California, Davis School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Maniilaq Association
Practice addresses (Care Compare)
436 5TH and Ted Stevens Way
Maniilaq Health Center
Kotzebue, AK 99752-0043
Phone (907) 442-3321
Hospital & facility affiliations
- Maniilaq Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157 | AK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maniilaq Association | Current | Accepting new patients | |
| Maniilaq Association | Current | Accepting new patients | |
| Maniilaq Association | Past | Accepting new patients |
Interoperability endpoints
- wreeve@direct.maniilaq.org
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Kotzebue, AK
- NPI 1316995210
-
- Dentist
- Kotzebue, AK
- NPI 1003010042
Hospital & facility affiliations 12
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": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1417075136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 43",
"city": "KOTZEBUE",
"state": "AK",
"postal_code": "997520043",
"telephone_number": "907-442-7148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 5TH & TED STEVENS WAY",
"city": "KOTZEBUE",
"state": "AK",
"postal_code": "997520043",
"telephone_number": "907-442-7148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVE",
"first_name": "WINIFRED",
"middle_name": "A",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AK",
"license": "5806",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AK",
"license": "157",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP5745",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kotzebue, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.