Jennifer R Tappin-Addison, AGNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP134042 Issued in TX

Practice address

Norton Shore Health Corporation
1000 Greg Kruschek Ave
Nome, AK 99762

Phone

(907) 443-3311

NPI assigned

May 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Jennifer R Tappin-Addison Professional name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

US Wound Care Professional AssociationGroup PAC ID 3173090156, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• US Wound Care Professional Association

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1134068471
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1629026646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 NEIDMAN DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637364",
            "telephone_number": "877-969-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTON SHORE HEALTH CORPORATION",
            "address_2": "1000 GREG KRUSCHEK AVE",
            "city": "NOME",
            "state": "AK",
            "postal_code": "99762",
            "telephone_number": "907-443-3311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "BLDG 155",
            "address_purpose": "LOCATION",
            "city": "Fort Irwin",
            "state": "CA",
            "postal_code": "92310",
            "country_code": "US",
            "telephone_number": "760-386-3151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 Community Ave",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750712535",
            "country_code": "US",
            "telephone_number": "972-547-5280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAPPIN-ADDISON",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP134042",
            "primary": true
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "NY",
            "license": "4775-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "TAPPIN-ADDISON",
            "middle_name": "R",
            "prefix": "MRS.",
            "credential": "AGNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Toyoichiro Suzuki, PSY.D.
• Sarah Jane Swartz, LPN
• Erica Szkody
• Kara Ta
• Abigail Takak
• Daniel Thomas, PA-C
• Brenda Tokeinna
• Leah Tokeinna
• Tammarie Toolie
• Audrey Renee Topkok, CHA-T

• Nurse Practitioner in Nome, AK
• Providers in Nome, AK by specialty
• Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.