Active NPI
Bette J Fenn, ANP
- Family Nurse Practitioner
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 294
- Practice address
- 3200 Providence Dr
Suite B111
Anchorage, AK 99508-4615 - Phone
- (907) 212-7997
- Fax
- (907) 212-8225
- NPI assigned
- Jul 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 294 | AK | Primary |
Addresses
Primary practice location
3200 Providence Dr
Suite B111
Anchorage, AK 99508-4615
Mailing address
PO Box 4105
Portland, OR 97208-4105
Phone (866) 907-1068
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1022406 | Medicaid | AK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bfenn231592@ak.providencedirect.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3200 Providence Dr
Anchorage, AK 99508-4615
Phone (907) 562-2211
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services- Washington | Current | Accepting new patients | |
| Providence Health & Services-Washington | Past | Accepting new patients |
Locations
3200 Providence Dr
Ste B111
Anchorage, AK 99508
Phone (907) 212-7890
920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200
3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111
3300 Providence Dr
Ste B104
Anchorage, AK 99508
Phone (907) 212-7997
Interoperability endpoints
- bfenn231592@ak.providencedirect.org
Organizations & group practices 2
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.
-
dba Providence Medical Group Alaska
- Critical Care Medicine (Internal Medicine) Physician
- Anchorage, AK
- NPI 1093956278
-
dba Providence Medical Group Alaska
- Community/Behavioral Health Agency
- Anchorage, AK
- NPI 1841814795
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Alaska Medical Center
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1447283767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4105",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084105",
"telephone_number": "866-907-1068",
"fax_number": "425-917-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 PROVIDENCE DR",
"address_2": "SUITE B111",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084615",
"telephone_number": "907-212-7997",
"fax_number": "907-212-8225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENN",
"first_name": "BETTE",
"middle_name": "J",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "294",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1022406",
"state": "AK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bfenn231592@ak.providencedirect.org",
"affiliation": "N",
"address_1": "3300 Providence Dr Ste B104",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "995084690",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.