Katelyn Fox, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Juneau, AK
NPI 1659732964 · NPPES record last updated Nov 8, 2023
Key facts
- NPI
- 1659732964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 206667 (AK)
- Practice address
- 3260 Hospital Dr
Juneau, AK 99801-7808 - Phone
- (907) 796-8900
- NPI assigned
- Mar 14, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bartlett Regional Hospital
Practice addresses (Care Compare)
3240 Hospital Dr
Juneau, AK 99801-7808
Phone (907) 796-8435
Hospital & facility affiliations
- Bartlett Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240311004164 | AK | Practitioner - Nurse Practitioner | 9234575390 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NURR32781 | AK | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bartlett Regional Hospital | Current |
Accepting new patients | |
| Bartlett Regional Hospital | Past | Accepting new patients |
Locations
3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427
3240 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8435
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | NURR32781 | AK | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 206667 | AK | Yes |
Addresses
Primary practice location
3260 Hospital Dr
Juneau, AK 99801-7808
Mailing address
9358 Lee Smith Dr
Juneau, AK 99801-8019
Phone (907) 957-1695
Other providers in Juneau, AK
- Jacquelyn M Forster
- Mary K. Fortin
- Rose M Foss
- Foundations Physical Therapy LLC
- Brandon Malone Fox
- Jamie Lynn Framke
- Sarah Frampton
- Patricia Anne Francis
- Sara Franck
- Aleesha Franklin
All providers in Juneau, AK · Psychiatric/Mental Health Nurse Practitioner in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.