Individual provider Active NPI

Nicole Barker, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairbanks, AK
National Provider Identifier
1760848238
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
183596 Issued in AK
Practice address
122 1St Ave Ste 400
Fairbanks, AK 99701-4871
Phone
(907) 459-3800
NPI assigned
Jan 13, 2016
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 183596 AK Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1171947 ID
Registered Nurse 163W00000X 6071441 ID
Psychiatric/Mental Health Registered Nurse 163WP0808X NURR35547 AK

Addresses

Primary practice location

122 1St Ave Ste 400
Fairbanks, AK 99701-4871

Mailing address

122 1St Ave Ste 400
Fairbanks, AK 99701-4871
Phone (907) 459-3800

Other names 1

  • Nicole Erin Potts Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220124001802 TX Practitioner - Nurse Practitioner 0446642466 Reassigns benefits to 1 organization
I20250430002988 ID Practitioner - Nurse Practitioner 0446642466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Haas Associates, LLCGroup PAC ID 4880080100, 15 clinicians
BRC Mental Health ServicesGroup PAC ID 6305106824, 3 clinicians

Practice addresses (Care Compare)

1047 S Wells St
Meridian, ID 83642-7997
Phone (208) 297-3428

963 S Orchard St
Suite 103
Boise, ID 83705-1917
Phone (208) 890-7290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NURR35547AKMDPsychiatric/Mental Health Registered Nurse
183596AKMDPsychiatric/Mental Health Nurse Practitioner
1171947IDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Haas Associates, LLC Psychiatric/Mental Health CurrentSince Mar 21, 2025 Accepting new patients
Tanana Chiefs Conference CurrentSince Oct 15, 2021 Accepting new patients
Tanana Chiefs Conference CurrentSince Oct 15, 2021 Accepting new patients
Tanana Chiefs Conference PastSince Jan 21, 2022 Accepting new patients

Locations

122 1st Ave
Ste 400
Fairbanks, AK 99701
Phone 9074528251 ext. 3416

1717 W Cowles St
Fairbanks, AK 99701
Phone (907) 452-6682

9327 W Cory Ln
Boise, ID 83704
Phone (208) 376-1300

1047 S Wells St
Meridian, ID 83642
Phone (208) 398-3351

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, 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": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1760848238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 1ST AVE STE 400",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014871",
            "telephone_number": "907-459-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 1ST AVE STE 400",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014871",
            "telephone_number": "907-459-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "NICOLE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-13",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "183596",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "1171947",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "6071441",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AK",
            "license": "NURR35547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "POTTS",
            "middle_name": "ERIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.