Active NPI
Jennifer Elisabeth Austin, APRN, CPNP
- Pediatric Nurse Practitioner
- Anchorage, AK
National Provider Identifier
1841663945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 113174
- Practice address
- 4361 Boniface Pkwy
Anchorage, AK 99504-4314 - Phone
- (907) 222-5090
- Fax
- (907) 222-5093
- NPI assigned
- Nov 11, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 113174 | AK | Primary |
Addresses
Primary practice location
4361 Boniface Pkwy
Anchorage, AK 99504-4314
Mailing address
4361 Boniface Pkwy
Anchorage, AK 99504-4314
Phone (907) 222-5090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95025289 | CA | MD | Pediatric Nurse Practitioner |
| 13850 | CT | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Children's Urgent Care and Outreach | Pediatrics | Current | Accepting new patients |
| Alaska Children's Primary Care | Pediatrics | Current | Accepting new patients |
| PM Pediatrics of Mamaroneck | Past | Accepting new patients | |
| PM Pediatrics of Bayside PLLC | Past | Accepting new patients | |
| PM Pediatrics PC | Pediatrics | Past | Accepting new patients |
Locations
751 E 36th Ave
Ste 100
Anchorage, AK 99503
Phone (907) 222-5090
4361 Boniface Pkwy
Anchorage, AK 99504
Phone (907) 332-0021
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Anchorage, AK
- NPI 1629906599
-
- Pediatrics Physician
- Anchorage, AK
- NPI 1417771353
-
- Urgent Care Clinic/Center
- Nanuet, NY
- NPI 1861823197
-
- Urgent Care Clinic/Center
- Mamaroneck, NY
- NPI 1073645180
-
dba PM Pediatrics of Mamaroneck
- Urgent Care Clinic/Center
- Syosset, NY
- NPI 1730212390
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1841663945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4361 BONIFACE PKWY",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995044314",
"telephone_number": "907-222-5090",
"fax_number": "907-222-5093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4361 BONIFACE PKWY",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995044314",
"telephone_number": "907-222-5090",
"fax_number": "907-222-5093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "JENNIFER",
"middle_name": "ELISABETH",
"credential": "APRN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-11",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AK",
"license": "113174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.