Jenna N Walker, APRN,FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

78686 Issued in WV

Practice address

1911 E Rezanof Dr
Kodiak, AK 99615-6602

Phone

(907) 481-5000

NPI assigned

May 19, 2016

Last updated

May 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Kodiak Island Health Care FoundationGroup PAC ID 8022922509, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Kodiak Island Medical Ctr Hospital, Kodiak, AK, CCN 021306

Merit-based Incentive Payment System (MIPS)

Final score

76.58 of 100Reported as group

Quality

74.05

Improvement activities

40

Cost

56.66

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Kodiak Island Health Care Foundation

  dba Kodiak Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Kodiak, AK
  • NPI 1326047044
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health & Services Washington

  dba Providence Kodiak Island Medical Center

  • Critical Access Hospital
  • Kodiak, AK
  • NPI 1013905660
  Care Compare affiliation

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1447607452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2028",
            "city": "BEAVER",
            "state": "WV",
            "postal_code": "258132028",
            "telephone_number": "304-255-1300",
            "fax_number": "304-255-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 E REZANOF DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156602",
            "telephone_number": "907-481-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JENNA",
        "middle_name": "N",
        "credential": "APRN,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "78686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1658011",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• US Coast Guard Finance Center (Kodiak Uscg Phcy)
• Linda Van Mun
• Joanne Vaudrin
• Viewcrest Assisted Living Home
• Pureza Villaran
• Walmart Inc. (Walmart Pharmacy 10-2711)
• Laura Marie Walters, MD
• Summer Walters
• Joanne Marie Ward, CHA-P
• Jennifer Weaver, MMT, LMT, CPT

• Nurse Practitioner in Kodiak, AK
• Providers in Kodiak, AK by specialty
• Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.

Verify at the official NPI Registry.