Active NPI
Jordan Peters
- Psychiatric/Mental Health Nurse Practitioner
- Anchorage, AK
National Provider Identifier
1851241616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 249739
- Practice address
- 4048 Laurel St
Anchorage, AK 99508-5389 - Phone
- (902) 223-3879
- NPI assigned
- Feb 2, 2026
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 249739 | AK | Primary |
Addresses
Primary practice location
4048 Laurel St
Anchorage, AK 99508-5389
Mailing address
PO Box 866
Haverhill, MA 01831-1066
Phone (978) 994-3096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 15, 2026 through Apr 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 249739 | AK | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1851241616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 866",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018311066",
"telephone_number": "978-994-3096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4048 LAUREL ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085389",
"telephone_number": "902-223-3879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-02-02",
"last_updated": "2026-02-02",
"certification_date": "2026-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AK",
"license": "249739",
"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 Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.