Organization Active NPI

Longship Nursing and Consulting LLC

  • Family Nurse Practitioner
  • Eagle River, AK
National Provider Identifier
1699466045
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LONGSHIP NURSING AND CONSULTING LLC
Practice address
11723 Old Glenn Hwy Ste 213
Eagle River, AK 99577-7750
Phone
(907) 854-6877
NPI assigned
May 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Andrea K Lewis, APRNNPI 1316253990
Title
Owner/Provider
Phone
(907) 854-6877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

11723 Old Glenn Hwy Ste 213
Eagle River, AK 99577-7750

Mailing address

PO Box 672154
Chugiak, AK 99567-2154
Phone (907) 854-6877

Other practice location 1

21249 Old Glenn Highway (Mobile Practice)
Chugiak, AK 99567
Phone (907) 854-6877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240820002009 AK Part B Supplier - Clinic/Group Practice 8224576350 Receives reassigned benefits from 1 practitioner
Practice locations: Eagle River, AK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
02D2299670Longship Nursing and Consulting, LLC11723 Old Glenn Hwy, Ste 213, Eagle River, AK 99577Certificate of waiverFeb 22, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1699466045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672154",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995672154",
            "telephone_number": "907-854-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11723 OLD GLENN HWY STE 213",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777750",
            "telephone_number": "907-854-6877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21249 Old Glenn Highway (Mobile Practice)",
            "address_purpose": "LOCATION",
            "city": "Chugiak",
            "state": "AK",
            "postal_code": "99567",
            "country_code": "US",
            "telephone_number": "907-854-6877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LONGSHIP NURSING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "907-854-6877",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.