Active NPI
Jill Kristine Dowell, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Wasilla, AK
National Provider Identifier
1609949817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1270
- Practice address
- 1363 W Spruce Ave
Wasilla, AK 99654-5327 - Phone
- (907) 376-2411
- Fax
- (907) 352-3373
- NPI assigned
- Nov 16, 2006
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP30006203 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1270 | AK | Primary |
Addresses
Primary practice location
1363 W Spruce Ave
Wasilla, AK 99654-5327
Mailing address
1363 W Spruce Ave
Wasilla, AK 99654-5327
Phone (907) 376-2411
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN00122578 | Other | WA | REGISTERED NURSE |
| 1270 | Other | AK | ANP |
| 33608 | Other | AK | RN |
| AP30006203 | Other | WA | ARNP |
| 9635277 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1270 | AK | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP30006203 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mat - Su Health Services Inc. | Past | Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wasilla, AK
- NPI 1184725210
-
dba Tribal/HPG- Benteh Nuutah Primary Care Center (BNPCC)
- Multi-Specialty Clinic/Center
- Wasilla, AK
- NPI 1386680056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1609949817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1363 W SPRUCE AVE",
"city": "WASILLA",
"state": "AK",
"postal_code": "996545327",
"telephone_number": "907-376-2411",
"fax_number": "907-352-3373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1363 W SPRUCE AVE",
"city": "WASILLA",
"state": "AK",
"postal_code": "996545327",
"telephone_number": "907-376-2411",
"fax_number": "907-352-3373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWELL",
"first_name": "JILL",
"middle_name": "KRISTINE",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP30006203",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AK",
"license": "1270",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "RN00122578",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANP",
"identifier": "1270",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "33608",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARNP",
"identifier": "AP30006203",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9635277",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wasilla, AK
- Donat Doni, PHARMD
- Tina Dorsey
- Jennifer Dotur, LPC
- Barbara J Doty, MD
- Samantha K Dowd, LMT
- Garrett Downing
- Izaak Grant Downing, BS
- Michelle Downing, CDCA, CDCS
- Dr Daniel W Larson PC (1 Larson Chiropractic 2 Back in Action Physical Rehabilitation Center)
- Dr Norman E Fuller PC (Alpine Chiropractic Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.