Jennifer Byers, PMHNP/ANP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Palmer, AK
NPI 1811316987 · NPPES record last updated Dec 9, 2014
Key facts
- NPI
- 1811316987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 1434 (AK)
- Practice address
- 2250 S Woodworth Loop
Suite 202
Palmer, AK 99645-7457 - Phone
- (907) 761-5800
- Fax
- (907) 761-5801
- NPI assigned
- Apr 15, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Jennifer Byers Anp LLC
Practice addresses (Care Compare)
1689 S Knik Goose Bay Rd
Suite 700
Wasilla, AK 99654-8088
Phone (907) 841-8663
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 |
|---|---|---|---|---|
| I20141103001091 | AK | Practitioner - Nurse Practitioner | 7618199803 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1434 | AK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Byers Anp LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Providence Health & Services- Washington | Past |
Accepting new patients |
Locations
1689 S Knik Goose Bay Rd
Ste 700
Wasilla, AK 99654
Phone (907) 841-8663
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1434 | AK | Yes |
Addresses
Primary practice location
2250 S Woodworth Loop
Suite 202
Palmer, AK 99645-7457
Mailing address
PO Box 4105
Portland, OR 97208-4105
Phone (866) 907-1068
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1620023 | Medicaid | AK |
Other providers in Palmer, AK
- Monte L Burtch
- Lora Ann Burton
- Taylor N Burton
- Elizabeth Butler
- Melissa Bybee
- Ivy Caldwell
- Katlyn Cameron
- Angela Campbell
- Barrett Campbell
- Price Ammon Campbell
All providers in Palmer, 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 Dec 9, 2014. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.