Individual provider Active NPI

Maureen Nanyangwe, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1821743915
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
200387 Issued in AK
Practice address
1577 C St
Anchorage, AK 99501-5127
Phone
(907) 205-1810
NPI assigned
Feb 16, 2022
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 200387 AK Primary
School Nurse Practitioner 363LS0200X 833969 TX

Addresses

Primary practice location

1577 C St
Anchorage, AK 99501-5127

Mailing address

1577 C St
Anchorage, AK 99501-5127
Phone (907) 205-1810

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
I20240718003715 AK Practitioner - Nurse Practitioner 2961948542 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4119 Mountain View Dr
Anchorage, AK 99508-1546
Phone (907) 222-4851

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200387AKMDPsychiatric/Mental Health Nurse Practitioner
833969TXMDSchool Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David N Ampong Multi-Specialty CurrentSince Jun 25, 2024 Accepting new patients
Mountain View Community Mental Health and Recovery Center LLC Multi-Specialty CurrentSince Oct 29, 2025 Accepting new patients
Mental Health Specialty Group PA Multi-Specialty CurrentSince Aug 1, 2025 Accepting new patients

Locations

1577 C St
Ste 201
Anchorage, AK 99501
Phone (907) 222-2448

4119 Mountain View Dr
Anchorage, AK 99508
Phone (907) 222-4851

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1821743915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 C ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995015127",
            "telephone_number": "907-205-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 C ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995015127",
            "telephone_number": "907-205-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANYANGWE",
        "first_name": "MAUREEN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "200387",
            "primary": true
        },
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "TX",
            "license": "833969",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.