Active NPI
Power of Wellness Health Services LLC
- Primary Care Nurse Practitioner
- Ketchikan, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- POWER OF WELLNESS HEALTH SERVICES LLC
- Practice address
- 3528 Tongass Ave
Ketchikan, AK 99901-5635 - Phone
- (907) 220-4447
- Fax
- (907) 247-8782
- NPI assigned
- Aug 22, 2019
- Last updated
- Nov 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Hulstine, APRN
- Title
- Owner/Provider
- Phone
- (866) 243-7203
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | NU | Primary |
Addresses
Primary practice location
3528 Tongass Ave
Ketchikan, AK 99901-5635
Mailing address
PO Box 7691
Ketchikan, AK 99901-2691
Phone (866) 243-7203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 02D2172658 | Power of Wellness Health Services, LLC | Certificate of waiver | Sep 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
320 Bawden St
Apt 313
Ketchikan, AK 99901
Phone (907) 220-9982
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Ketchikan, AK
- NPI 1306363734
-
- Family Nurse Practitioner
- Ketchikan, AK
- NPI 1790715886
-
- Family Nurse Practitioner
- Ketchikan, AK
- NPI 1336469469
-
- Family Nurse Practitioner
- Ketchikan, AK
- NPI 1336570506
-
- Emergency Medicine Physician
- Ketchikan, AK
- NPI 1164428371
-
- Family Nurse Practitioner
- Soldotna, AK
- NPI 1487958708
-
- Family Nurse Practitioner
- Ketchikan, AK
- NPI 1205335809
-
- Psychiatric/Mental Health Nurse Practitioner
- Klawock, AK
- NPI 1801486410
Single Specialty
-
- Family Nurse Practitioner
- Ketchikan, AK
- NPI 1811271661
-
- Family Medicine Physician
- Carson City, NV
- NPI 1003879693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606694400000",
"number": "1720635840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7691",
"city": "KETCHIKAN",
"state": "AK",
"postal_code": "999012691",
"telephone_number": "866-243-7203",
"fax_number": "833-243-7203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3528 TONGASS AVE",
"city": "KETCHIKAN",
"state": "AK",
"postal_code": "999015635",
"telephone_number": "907-220-4447",
"fax_number": "907-247-8782"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POWER OF WELLNESS HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-22",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A",
"authorized_official_last_name": "HULSTINE",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "866-243-7203",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ketchikan, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.