NPIMap

Individual provider Active NPI

Shoshannah Seed Kinsler, DNP

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1760912828
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
122641 Issued in AK
Practice address
4951 Business Park Blvd
Anchorage, AK 99503-7174
Phone
(907) 743-7200
NPI assigned
Jun 12, 2017
Last updated
May 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 122641 AK Primary

Addresses

Primary practice location

4951 Business Park Blvd
Anchorage, AK 99503-7174

Mailing address

4951 Business Park Blvd
Anchorage, AK 99503-7174
Phone (907) 743-7200

Other practice location 1

131 Lindblad Ave.
Girdwood, AK 99587
Phone (907) 783-1355

Other practice location 2

2105 E 88th Ave
Anchorage, AK 99507-3805
Phone (907) 248-2482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180402000632 AK Practitioner - Nurse Practitioner 2567724560 Reassigns benefits to 3 organizations
I20260518000160 TX Practitioner - Nurse Practitioner 2567724560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Girdwood Health Clinic, Inc.Group PAC ID 4688836216, 8 clinicians
Anchorage Sleep Center LLCGroup PAC ID 5890964746, 11 clinicians

Practice addresses (Care Compare)

131 Lindblad Ave
Girdwood, AK 99587-1130
Phone (907) 783-1355

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 563-2662

4951 Business Park Blvd
Anchorage, AK 99503-7174
Phone (907) 743-7200

510 W Tudor Rd
Suite 5
Anchorage, AK 99503-6649
Phone (907) 743-0050

PO Box
Suite 1130
Girdwood, AK 99587

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
122641AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Myhealth Clinic, LLC Single Specialty CurrentSince Feb 24, 2018 Accepting new patients
Anchorage Neighborhood Health Center, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Anchorage Sleep Center, LLC Dba Fairbanks Sleep Center CurrentSince Feb 21, 2023 Accepting new patients
Anchorage Sleep Center, LLC Single Specialty CurrentSince Feb 21, 2023 Accepting new patients
Anchorage Neighborhood Health Center Inc Single Specialty CurrentSince Feb 1, 2024 Accepting new patients
Girdwood Health Clinic, Inc. Single Specialty CurrentSince Dec 15, 2018 Accepting new patients

Locations

2105 E 88th Ave
Anchorage, AK 99507
Phone (907) 227-7699

4951 Business Park Blvd
Anchorage, AK 99503
Phone (907) 743-7200

510 W Tudor Rd
Ste 5
Anchorage, AK 99503
Phone (907) 743-0050

475 Riverstone Way
Ste 1
Fairbanks, AK 99709
Phone (907) 374-9920

3719 E Meridian Loop
Ste C
Wasilla, AK 99654
Phone (907) 357-4200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8748/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shoshannah.kinsler.1@8748.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1760912828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 BUSINESS PARK BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037174",
            "telephone_number": "907-743-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 BUSINESS PARK BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037174",
            "telephone_number": "907-743-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Lindblad Ave.",
            "address_purpose": "LOCATION",
            "city": "Girdwood",
            "state": "AK",
            "postal_code": "99587",
            "country_code": "US",
            "telephone_number": "907-783-1355",
            "fax_number": "907-783-1357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2105 E 88th Ave",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995073805",
            "country_code": "US",
            "telephone_number": "907-248-2482",
            "fax_number": "907-248-0045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINSLER",
        "first_name": "SHOSHANNAH",
        "middle_name": "SEED",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "122641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.