Kristen Alcorn, NP
Individual provider Active NPI Family Nurse Practitioner · Palmer, AK
NPI 1710763537 · NPPES record last updated Apr 24, 2024
Key facts
- NPI
- 1710763537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 208760 (AK)
- Practice address
- 425 E Dahlia Ave Ste J
Palmer, AK 99645-6463 - Phone
- (907) 746-1521
- NPI assigned
- Sep 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
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 |
|---|---|---|---|---|
| I20231018003469 | AK | Practitioner - Nurse Practitioner | 9739534207 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- 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 |
Locations
3066 E Meridian Park Loop
Ste 2
Wasilla, AK 99654
Phone (907) 357-9560
3331 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 357-2332
3122 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 864-4625
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 208760 | AK | Yes |
Addresses
Primary practice location
425 E Dahlia Ave Ste J
Palmer, AK 99645-6463
Mailing address
425 E Dahlia Ave Ste J
Palmer, AK 99645-6463
Phone (907) 746-1521
Other providers in Palmer, AK
- Alaska Wellness Journeys
- Alaskan Sunrise Behavioral Health, L.L.C.
- Alaskans Relax-Zen
- Tyler Issaac Albrecht
- Terina Marie Alcantra
- Amanda Lynne Alexander
- Jamie Danielle Alexander
- Nicole Marie Alfonso
- All About Words, LLC
- Karina Allen
All providers in Palmer, AK · Family 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 Apr 24, 2024. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.