Christine Bailes, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

CHRISTINE BAILES, LLC

Practice address

3505 E Meridian Park Loop Ste 100
Wasilla, AK 99654-7242

Phone

(907) 864-0022

Fax

(877) 725-7371

NPI assigned

Dec 21, 2016

Organization subpart

No

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

Authorized official

Name

Christine Olga Bailes

Title

Anp / Owner

Phone

(907) 864-0022

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pinnacle Neurology & Infusion Doing business as

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John B Kelly, MD

  • Neurology Physician
  • Wasilla, AK
  • NPI 1407855315
  Medicare reassignment
• Mary M Hillstrand, DNP, ANP

  • Family Nurse Practitioner
  • Anchorage, AK
  • NPI 1619981115
  NPD

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1558806901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 E MERIDIAN PARK LOOP STE 100",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547242",
            "telephone_number": "907-864-0022",
            "fax_number": "877-725-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 E MERIDIAN PARK LOOP STE 100",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547242",
            "telephone_number": "907-864-0022",
            "fax_number": "877-725-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE BAILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "BAILES",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "OLGA",
        "authorized_official_title_or_position": "ANP / OWNER",
        "authorized_official_telephone_number": "907-864-0022"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1660501",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1630807",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Neurology & Infusion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dane Lars Christiansen
• Laura Temple Christiansen
• Philip Christiansen
• Rachel Uilani Christiansen
• Marlena Christianson
• Samuel Christy, RT(ARRT)
• Chroi
• Brigid Sy Chua-Hackett, LPC
• Lynda J. Chud
• Chugiak Senior Citizens, Inc.

• Family Nurse Practitioner in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Family Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.