Individual provider Active NPI

Linda Duwa, MSN, ACNP

  • Acute Care Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1699189613
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1397 Issued in AK
Practice address
3200 Providence Dr
Suite B111
Anchorage, AK 99508-4615
Phone
(907) 212-7997
Fax
(907) 212-8225
NPI assigned
Jun 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1397 AK Primary

Addresses

Primary practice location

3200 Providence Dr
Suite B111
Anchorage, AK 99508-4615

Mailing address

PO Box 4105
Portland, OR 97208-4105
Phone (866) 907-1060

Other identifiers 1

IdentifierTypeStateIssuer
1619011MedicaidAK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lduwa22768@ak.providencedirect.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251015000784 TX Practitioner - Nurse Practitioner 6901026962 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icare Pro of Texas Aco Billing Professional AssociationGroup PAC ID 0143681940, 13 clinicians
Icarepro of Texas, PAGroup PAC ID 2365811767, 12 clinicians

Practice addresses (Care Compare)

4114 McKnight Rd
Suite C
Texarkana, TX 75503-1086
Phone (855) 498-6767

4140 McKnight Rd
Suite D
Texarkana, TX 75503-0921
Phone (855) 498-6767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1115590TXMDPhysical Therapist
1397AKMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Applebaum Physiatry PLLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

19638 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 402-5750

11106 Christus Hls
San Antonio, TX 78251
Phone (210) 240-8241

Interoperability endpoints

  • Direct secure messaging: lduwa22768@ak.providencedirect.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1699189613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084105",
            "telephone_number": "866-907-1060",
            "fax_number": "425-917-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 PROVIDENCE DR",
            "address_2": "SUITE B111",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084615",
            "telephone_number": "907-212-7997",
            "fax_number": "907-212-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUWA",
        "first_name": "LINDA",
        "credential": "MSN, ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AK",
            "license": "1397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619011",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lduwa22768@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "3200 Providence Dr",
            "address_2": "Suite B111",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995084615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.