Mindy Leigh Goorchenko, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

133148 Issued in AK

Practice address

3925 Tudor Centre Dr Ste 100
Anchorage, AK 99508-5931

Phone

(907) 561-8301

NPI assigned

Jul 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Providence Health & Services Washington

  dba Providence Alaska Medical Center

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1467547265
  NPD

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1871070375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 TUDOR CENTRE DR STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085931",
            "telephone_number": "907-561-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 TUDOR CENTRE DR STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085931",
            "telephone_number": "907-561-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOORCHENKO",
        "first_name": "MINDY",
        "middle_name": "LEIGH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "133148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgoorchenko86985@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "3925 Tudor Centre Dr Ste 100",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995085931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Luigia Rosella Goodman, LCSW, CDC1
• Vonda Kay Goodman, SLP
• Faith Marie Goodroad
• Jeffrey Goodwin
• Susan Loughlin Goodwin, APRN
• Gregory A Gootee, PA-C
• Susan Gorba, RN, CEN
• Dawn Gordon
• Donna R Gordon
• Heidi Gordon, CRS

• Family Nurse Practitioner in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Family Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.