Active NPI
Elisabeth Manet Jones
- Women's Health Nurse Practitioner
- Wasilla, AK
National Provider Identifier
1659146074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 217148
- Practice address
- 3122 E Meridian Park Loop
Wasilla, AK 99654-7255 - Phone
- (907) 357-1113
- Fax
- (907) 357-9593
- NPI assigned
- Nov 15, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 137133 | AK | |
| Women's Health Nurse Practitioner | 363LW0102X | 217148 | AK | Primary |
Addresses
Primary practice location
3122 E Meridian Park Loop
Wasilla, AK 99654-7255
Mailing address
1736 Logan St
Anchorage, AK 99508-3240
Phone (401) 743-0186
Other practice location 1
1736 Logan St
Anchorage, AK 99508-3240
Phone (401) 743-0186
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137133 | AK | MD | Neonatal Intensive Care Registered Nurse |
| 217148 | AK | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Network of Alaska, LLC | Current | Accepting new patients | |
| Medical Network of Alaska, LLC | Current | Accepting new patients | |
| Medical Network of Alaska, LLC | Current | Accepting new patients | |
| Medical Network of Alaska, LLC | Current | Accepting new patients | |
| Mat-Su Valley Medical Center LLC | Past | Accepting new patients | |
| Medical Network of Alaska, LLC | Past | Accepting new patients |
Locations
3331 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 357-2332
3122 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 864-4625
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Wasilla, AK
- NPI 1538414834
-
- Orthopaedic Surgery Physician
- Wasilla, AK
- NPI 1376241083
-
- Clinical Medical Laboratory
- Wasilla, AK
- NPI 1467167585
-
- Otolaryngology Physician
- Anchorage, AK
- NPI 1922862986
-
- General Acute Care Hospital
- Palmer, AK
- NPI 1417975061
-
- Specialist
- Wasilla, AK
- NPI 1508089046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1659146074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1736 LOGAN ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995083240",
"telephone_number": "401-743-0186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3122 E MERIDIAN PARK LOOP",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547255",
"telephone_number": "907-357-1113",
"fax_number": "907-357-9593"
}
],
"practiceLocations": [
{
"address_1": "1736 Logan St",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995083240",
"country_code": "US",
"telephone_number": "401-743-0186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "ELISABETH",
"middle_name": "MANET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-15",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "AK",
"license": "137133",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AK",
"license": "217148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.