Peter Fritz Alward, ANP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Anchorage, AK
NPI 1790001899 · NPPES record last updated Apr 14, 2010
Key facts
- NPI
- 1790001899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- U 1113 (AK)
- Practice address
- 1500 Debarr Cir
Anchorage, AK 99508-2984 - Phone
- (907) 865-7102
- NPI assigned
- Apr 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|---|
| I20240805002099 | AK | Practitioner - Nurse Practitioner | 7416494711 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U 1113 | AK | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Current |
Accepting new patients | |
| Providence Health & Services - Washington | Current |
Accepting new patients |
Locations
3760 Piper St
Ste 1108B
Anchorage, AK 99508
Phone (907) 212-6970
3760 Piper St
Ste 1108A
Anchorage, AK 99508
Phone (907) 212-6900
3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | U 1113 | AK | Yes |
Addresses
Primary practice location
1500 Debarr Cir
Anchorage, AK 99508-2984
Mailing address
17601 Beaujolais Dr
Eagle River, AK 99577-7515
Phone (907) 242-9639
Other providers in Anchorage, AK
- Bethany Alvarez
- Gabrielle Yujue Alvarez
- Jose Alvarez
- Justin Emilio Alvarez
- Siri D Alvey
- Always Caring Assisted Living Home LLC
- Alyeska Assisted Living, LLC
- Alyeska Chiropractic, Inc
- Alyeska Counseling Group LLC
- Alyeska Family Medicine Inc
All providers in Anchorage, AK · Psychiatric/Mental Health 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 14, 2010. 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.