Individual provider Active NPI

Virginia Walker, ANP

  • Psychiatric/Mental Health Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1609326594
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
109774 Issued in AK
Practice address
3211 Providence Drive RH Ste 116
University of Alaska Anchorage Student Health & Councel
Anchorage, AK 99508
Phone
(907) 786-4040
Fax
(907) 562-0269
NPI assigned
Oct 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 109774 AK Primary

Addresses

Primary practice location

3211 Providence Drive RH Ste 116
University of Alaska Anchorage Student Health & Councel
Anchorage, AK 99508

Mailing address

3211 Providence Drive RH Ste 116
University of Alaska Anchorage Student Health & Counsel
Anchorage, AK 99508
Phone (907) 786-4040

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200716003260 AK Practitioner - Nurse Practitioner 3476977901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4120 Laurel St
Suite 200
Anchorage, AK 99508-5392
Phone (907) 563-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
27.59 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
91.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorage Community Mental Health Services Inc. Current Accepting new patients
Anchorage Community Mental Health Services, Inc CurrentSince Jul 6, 2020 Accepting new patients
Anchorage Community Mental Health Services Inc. Psychiatric/Mental Health CurrentSince Jul 6, 2020 Accepting new patients

Locations

4120 Laurel St
Ste 200
Anchorage, AK 99508

4045 Lake Otis Pkwy
Ste 209
Anchorage, AK 99508
Phone (907) 561-5440

4020 Folker St
Anchorage, AK 99508
Phone (907) 561-0954

1423 Peger Rd
Fairbanks, AK 99709
Phone (907) 371-1300

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1609326594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 PROVIDENCE DRIVE RH STE 116",
            "address_2": "UNIVERSITY OF ALASKA ANCHORAGE STUDENT HEALTH & COUNSEL",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-786-4040",
            "fax_number": "907-562-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 PROVIDENCE DRIVE RH STE 116",
            "address_2": "UNIVERSITY OF ALASKA ANCHORAGE STUDENT HEALTH & COUNCEL",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-786-4040",
            "fax_number": "907-562-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "VIRGINIA",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "109774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.