Individual provider Active NPI

Caitlin Weeks

  • Family Nurse Practitioner
  • Wasilla, AK
National Provider Identifier
1417830415
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
239409 Issued in AK
Practice address
5000 E Shennum Dr
Wasilla, AK 99654-7718
Phone
(907) 373-3420
NPI assigned
Jul 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 239409 AK Primary

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

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
I20251229003783 AK Practitioner - Nurse Practitioner 9537655535 Reassigns benefits to 1 organization

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 Midwifery IncGroup PAC ID 5496079394, 11 clinicians

Practice addresses (Care Compare)

5000 E Shennum Dr
Wasilla, AK 99654-7718
Phone (907) 373-3420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
239409AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mat-Su Midwifery Inc CurrentSince Sep 20, 2025 Accepting new patients

Locations

5000 E Shennum Dr
Wasilla, AK 99654
Phone (907) 373-3420

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1417830415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 E SHENNUM DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547718",
            "telephone_number": "907-373-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 E SHENNUM DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547718",
            "telephone_number": "907-373-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "CAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "239409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

Verify at the official NPI Registry.