Individual provider Active NPI

Molly Lee Lunsford, CNM, WHNP-BC, RN

  • Advanced Practice Midwife
  • Wasilla, AK
National Provider Identifier
1609642198
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
214433 Issued in AK
Practice address
5000 E Shennum Dr
Wasilla, AK 99654-7718
Phone
(907) 885-4595
Fax
(907) 737-6784
NPI assigned
Nov 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 142445 AK
Women's Health Nurse Practitioner 363LW0102X 214433 AK
Advanced Practice Midwife 367A00000X 214433 AK Primary

Addresses

Primary practice location

5000 E Shennum Dr
Wasilla, AK 99654-7718

Mailing address

5000 E Shennum Dr
Wasilla, AK 99654-7718
Phone (907) 885-4595

Other names 1

  • Molly Lee Foster Former name

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
I20231227002642 AK Practitioner - Nurse Practitioner 4082064472 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchorage Women'S Clinic at Providence LLCGroup PAC ID 9032102124, 12 clinicians

Practice addresses (Care Compare)

3260 Providence Dr
Suite 425
Anchorage, AK 99508-4603
Phone (907) 561-7111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
142445AKMDRegistered Nurse
214433AKMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorage Women'S Clinic, LLC CurrentSince Dec 1, 2024 Accepting new patients
Mat-Su Midwifery Inc CurrentSince Nov 12, 2023 Accepting new patients
Obhg Alaska, P.C. PastSince Dec 1, 2024 Accepting new patients
Mat-Su Birth Center, LLC PastSince Mar 19, 2023 Accepting new patients

Locations

3260 Providence Dr
Ste 425
Anchorage, AK 99508
Phone (907) 561-7111

3260 Providence Dr
Ste 425C
Anchorage, AK 99508
Phone (907) 382-8958

17101 Snowmobile Ln
Ste 201
Eagle River, AK 99577
Phone (907) 561-7111

5000 E Shennum Dr
Wasilla, AK 99654
Phone (907) 373-3420

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1609642198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 E SHENNUM DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547718",
            "telephone_number": "907-885-4595",
            "fax_number": "907-737-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 E SHENNUM DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547718",
            "telephone_number": "907-885-4595",
            "fax_number": "907-737-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNSFORD",
        "first_name": "MOLLY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "CNM, WHNP-BC, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "142445",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AK",
            "license": "214433",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AK",
            "license": "214433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "FOSTER",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wasilla, AK

Sources for this page

Verify at the official NPI Registry.