NPIMap

Individual provider Active NPI

Christine Marie Fanelli, APRN

  • Family Nurse Practitioner
  • Soldotna, AK
National Provider Identifier
1639654304
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
243290 Issued in AK
Practice address
230 E Marydale Ave
Soldotna, AK 99669-7648
Phone
(907) 262-3119
Fax
(907) 262-9290
NPI assigned
Sep 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 243290 AK Primary

Addresses

Primary practice location

230 E Marydale Ave
Soldotna, AK 99669-7648

Mailing address

PO Box 2949
Soldotna, AK 99669-2949
Phone (907) 395-4303

Other practice location 1

805 Frontage Rd
Kenai, AK 99611-9104
Phone (907) 262-3119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251111002338 AK Practitioner - Nurse Practitioner 1658862313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

230 E Marydale Ave
Soldotna, AK 99669-7648
Phone (907) 262-3119

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243290AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Community Health Services of Alaska, Inc. CurrentSince Nov 15, 2025 Accepting new patients
Peninsula Community Health Services of Alaska, Inc. CurrentSince Nov 15, 2025 Accepting new patients

Locations

805 Frontage Rd
Kenai, AK 99611
Phone (907) 262-3119

230 E Marydale Ave
Soldotna, AK 99669
Phone (907) 262-3119

Organizations & group practices 2

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1639654304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2949",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996692949",
            "telephone_number": "907-395-4303",
            "fax_number": "907-262-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E MARYDALE AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697648",
            "telephone_number": "907-262-3119",
            "fax_number": "907-262-9290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Frontage Rd",
            "address_purpose": "LOCATION",
            "city": "Kenai",
            "state": "AK",
            "postal_code": "996119104",
            "country_code": "US",
            "telephone_number": "907-262-3119",
            "fax_number": "907-262-9290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANELLI",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "243290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

Verify at the official NPI Registry.