Individual provider Active NPI

Maude M Vance, M.D.

  • Obstetrics & Gynecology Physician
  • Anchorage, AK
National Provider Identifier
1417912601
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
135489 Issued in AK
Practice address
3976 University Lake Dr Ste 300
Anchorage, AK 99508-4644
Phone
(907) 222-9930
Fax
(907) 222-9931
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 44343 CO
Obstetrics & Gynecology Physician 207V00000X 135489 AK Primary

Addresses

Primary practice location

3976 University Lake Dr Ste 300
Anchorage, AK 99508-4644

Mailing address

3976 University Lake Dr Ste 300
Anchorage, AK 99508-4644
Phone (907) 222-9930

Other identifiers 1

IdentifierTypeStateIssuer
1692635MedicaidAK

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190528001427 AK Practitioner - Obstetrics/Gynecology 3678579281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Davis School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Denali OB-GYN AssocGroup PAC ID 0941296735, 10 clinicians

Practice addresses (Care Compare)

3976 University Lake Dr
Suite 300
Anchorage, AK 99508-4644
Phone (907) 222-9930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44343COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denali OB-GYN Assoc Obstetrics & Gynecology CurrentSince Jun 1, 2019 Accepting new patients
Poudre Valley Medical Group, LLC Obstetrics & Gynecology Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients

Locations

3976 University Lake Dr
Ste 300
Anchorage, AK 99508
Phone (907) 222-9930

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1417912601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3976 UNIVERSITY LAKE DR STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084644",
            "telephone_number": "907-222-9930",
            "fax_number": "907-222-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3976 UNIVERSITY LAKE DR STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084644",
            "telephone_number": "907-222-9930",
            "fax_number": "907-222-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "MAUDE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "44343",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AK",
            "license": "135489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1692635",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.