Individual provider Active NPI

Jennifer Elisabeth Austin, APRN, CPNP

  • Pediatric Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1841663945
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
113174 Issued in AK
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

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
95025289CAMDPediatric Nurse Practitioner
13850CTMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.