Active NPI
Nicole Barker, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Fairbanks, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 183596
- Practice address
- 122 1St Ave Ste 400
Fairbanks, AK 99701-4871 - Phone
- (907) 459-3800
- NPI assigned
- Jan 13, 2016
- Last updated
- Mar 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| NURR35547 | AK | MD | Psychiatric/Mental Health Registered Nurse |
| 183596 | AK | MD | Psychiatric/Mental Health Nurse Practitioner |
| 1171947 | ID | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haas Associates, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Tanana Chiefs Conference | Current | Accepting new patients | |
| Tanana Chiefs Conference | Current | Accepting new patients | |
| Tanana Chiefs Conference | Past | 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.
-
dba EverCare Mobile Health
- Psychiatric/Mental Health Nurse Practitioner
- Meridian, ID
- NPI 1497406904
-
- Community/Behavioral Health Agency
- Boise, ID
- NPI 1982126264
-
- Ambulatory Surgical Clinic/Center
- Fairbanks, AK
- NPI 1871332387
-
- Mental Illness Community Based Residential Treatment Facility
- Fairbanks, AK
- NPI 1124350624
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.