Individual provider Active NPI

Meeka Lockert, APRN

  • Family Nurse Practitioner
  • Fairbanks, AK
National Provider Identifier
1821660408
Registry record updated Sep 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
178962 Issued in AK
Practice address
3550 Airport Way
Fairbanks, AK 99709-4772
Phone
(907) 479-2331
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 178962 AK Primary

Addresses

Primary practice location

3550 Airport Way
Fairbanks, AK 99709-4772

Mailing address

2295 Long Shadow Dr
North Pole, AK 99705-5598
Phone (620) 253-6032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210907002110 AK Practitioner - Nurse Practitioner 2668878232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Alpine Medical Group LLCGroup PAC ID 7113302373, 9 clinicians

Practice addresses (Care Compare)

605 Chief Thomas Dr
Fairbanks, AK 99709-4848
Phone (907) 455-4555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
178962AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Medical Group LLC Family CurrentSince Sep 1, 2022 Accepting new patients

Locations

2054 30th Ave
Fairbanks, AK 99701
Phone (907) 455-4555

605 Chief Thomas Dr
Fairbanks, AK 99709
Phone (907) 455-4555

Interoperability endpoints

  • Direct secure messaging: meeka.lockert.1@24993.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630713600000",
    "number": "1821660408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 LONG SHADOW DR",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997055598",
            "telephone_number": "620-253-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 AIRPORT WAY",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094772",
            "telephone_number": "907-479-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKERT",
        "first_name": "MEEKA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-09-04",
        "certification_date": "2021-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "178962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.