Active NPI
Ellen J Halverson, M.D.
- Psychiatry Physician
- Palmer, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4152
- Practice address
- 2250 S Woodworth Loop Ste 202
Palmer, AK 99645-7457 - Phone
- (907) 921-5050
- NPI assigned
- Jul 14, 2006
- Last updated
- Feb 25, 2026
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4152 | AK | Primary |
Addresses
Primary practice location
2250 S Woodworth Loop Ste 202
Palmer, AK 99645-7457
Mailing address
PO Box 31001-4162
Pasadena, CA 91110-4162
Phone (866) 747-2455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010614 | Medicaid | AK |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of North Dakota School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2250 S Woodworth Loop
Suite 202
Palmer, AK 99645-7457
Phone (907) 761-5800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.61 of 100
- Quality
- 71.98
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 790 | AK | MD | Social Worker |
| 4152 | AK | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Washington | Psychiatry | Current | Accepting new patients |
| Providence Health & Services- Washington | Past | Accepting new patients |
Locations
3260 Providence Dr
Ste 422
Anchorage, AK 99508
Phone (907) 561-0004
3760 Piper St
Ste 1108
Anchorage, AK 99508
Phone (907) 212-6900
3760 Piper St
Ste 1108A
Anchorage, AK 99508
Phone (907) 212-6900
2250 S Woodworth Loop
Ste 202
Palmer, AK 99645
Phone (907) 761-5800
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Providence Medical Group Alaska
- Psychiatry Physician
- Anchorage, AK
- NPI 1538254347
-
dba Providence Medical Group Alaska
- Critical Care Medicine (Internal Medicine) Physician
- Anchorage, AK
- NPI 1093956278
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mat-Su Regional Medical Center
- General Acute Care Hospital
- Palmer, AK
- NPI 1417975061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1467478164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31001-4162",
"city": "PASADENA",
"state": "CA",
"postal_code": "911104162",
"telephone_number": "866-747-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 S WOODWORTH LOOP STE 202",
"city": "PALMER",
"state": "AK",
"postal_code": "996457457",
"telephone_number": "907-921-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALVERSON",
"first_name": "ELLEN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AK",
"license": "4152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010614",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.