NPIMap

Individual provider Active NPI

Joanna Oliver Walls, MSN, FNP-C

  • Family Nurse Practitioner
  • Soldotna, AK
National Provider Identifier
1508300922
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
117654 Issued in AK
Practice address
206 W Rockwell Ave
#100
Soldotna, AK 99669-7439
Phone
(907) 262-7566
NPI assigned
Dec 5, 2016
Last updated
Dec 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R888969 MS
Registered Nurse 163W00000X 117672 AK
Family Nurse Practitioner 363LF0000X 901842 MS
Family Nurse Practitioner 363LF0000X 117654 AK Primary

Addresses

Primary practice location

206 W Rockwell Ave
#100
Soldotna, AK 99669-7439

Mailing address

206 W Rockwell Ave
#100
Soldotna, AK 99669-7439
Phone (907) 262-7566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170412002150 AK Practitioner - Nurse Practitioner 3971889601 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain and Headache Center LLCGroup PAC ID 1456593409, 5 clinicians

Practice addresses (Care Compare)

36275 Kenai Spur Hwy
Suite 1
Soldotna, AK 99669-7157
Phone (907) 420-0565

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
117672AKMDRegistered Nurse
R888969MSMDRegistered Nurse
117654AKMDFamily Nurse Practitioner
901842MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Healthcare PC CurrentSince Sep 16, 2019 Accepting new patients
Independence Healthcare PC CurrentSince Sep 16, 2019 Accepting new patients
Aa Pain Clinic, Inc. CurrentSince Aug 6, 2023 Accepting new patients

Locations

4100 Lake Otis Pkwy
Ste 216
Anchorage, AK 99508
Phone (907) 563-2873

100 Trading Bay Rd
Ste 8
Kenai, AK 99611
Phone (907) 283-4633

130 S Willow St
Ste 1
Kenai, AK 99611
Phone (907) 262-2596

130 S Willow St
Ste 7
Kenai, AK 99611
Phone (907) 283-3752

289 N Fireweed St
Ste D
Soldotna, AK 99669
Phone (907) 262-6454

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14826/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1508300922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W ROCKWELL AVE",
            "address_2": "#100",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697439",
            "telephone_number": "907-262-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W ROCKWELL AVE",
            "address_2": "#100",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697439",
            "telephone_number": "907-262-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "JOANNA",
        "middle_name": "OLIVER",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R888969",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "117672",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901842",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "117654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

Verify at the official NPI Registry.