Individual provider Active NPI

Oluwafemi A Adisa

  • Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1679087605
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
252458 Issued in AK
Practice address
3841 Piper St Ste T100
Anchorage, AK 99508-4674
Phone
(907) 561-3211
Fax
(907) 561-4652
NPI assigned
Nov 29, 2017
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 188881 AK
Nurse Practitioner 363L00000X 252458 AK Primary

Addresses

Primary practice location

3841 Piper St Ste T100
Anchorage, AK 99508-4674

Mailing address

3841 Piper St Ste T100
Anchorage, AK 99508-4674
Phone (907) 561-3211

Other practice location 1

670 W Fireweed Ln Ste 160
Anchorage, AK 99503-2561
Phone (907) 770-0862

Other practice location 2

3125 E Meridian Park Loop Ste 200
Wasilla, AK 99654-7528
Phone (907) 561-3211

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260424000801 AK Practitioner - Nurse Practitioner 5991272247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3841 Piper St
Suite T100
Anchorage, AK 99508-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
188881AKMDRegistered Nurse
252458AKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Heart Institute CurrentSince May 1, 2026 Accepting new patients
Alaska Heart Institute PastSince May 1, 2026 Accepting new patients

Locations

3841 Piper St
Ste T100
Anchorage, AK 99508
Phone (907) 550-2233

3125 E Meridian Park Loop
Ste 200
Wasilla, AK 99654

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1679087605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 PIPER ST STE T100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084674",
            "telephone_number": "907-561-3211",
            "fax_number": "907-561-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 PIPER ST STE T100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084674",
            "telephone_number": "907-561-3211",
            "fax_number": "907-561-4652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 W Fireweed Ln Ste 160",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995032561",
            "country_code": "US",
            "telephone_number": "907-770-0862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3125 E Meridian Park Loop Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547528",
            "country_code": "US",
            "telephone_number": "907-561-3211",
            "fax_number": "907-561-4652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADISA",
        "first_name": "OLUWAFEMI",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-29",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "188881",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "252458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.