Individual provider Active NPI

Donna J Rymut, ANP, FNP

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1861762486
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1273 Issued in AK
Practice address
2751 Debarr Rd Ste B360
Anchorage, AK 99508-6809
Phone
(907) 277-4584
NPI assigned
Jan 12, 2012
Last updated
Jan 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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 1273 AK Primary

Addresses

Primary practice location

2751 Debarr Rd Ste B360
Anchorage, AK 99508-6809

Mailing address

200 W 34TH Ave # 1220
Anchorage, AK 99503-3969

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
I20230523002981 AK Practitioner - Nurse Practitioner 1658737275 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1273AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Eagle River Medical Clinic CurrentSince Mar 6, 2023 Accepting new patients
Denali Family Healthcare, LLC Past Accepting new patients

Locations

11432 Business Blvd
Ste 4
Eagle River, AK 99577
Phone (907) 317-1703

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12726/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1861762486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 34TH AVE # 1220",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 DEBARR RD STE B360",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086809",
            "telephone_number": "907-277-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYMUT",
        "first_name": "DONNA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "ANP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "1273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.