NPIMap

Individual provider Active NPI

Amy Jane Velsko, ANP, FNP-C

  • Family Nurse Practitioner
  • Nanwalek, AK
National Provider Identifier
1881063295
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
102398 Issued in AK
Practice address
Maqiq Street
Nanwalek, AK 99603-6623
Phone
(907) 281-2250
Fax
(907) 281-2284
NPI assigned
Sep 16, 2015
Last updated
Sep 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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 102398 AK Primary

Addresses

Primary practice location

Maqiq Street
Nanwalek, AK 99603-6623

Mailing address

PO Box 8023
Maqiq Street
Nanwalek, AK 99603-6623
Phone (907) 281-2250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170117001980 AK Practitioner - Nurse Practitioner 1254613722 Reassigns benefits to 1 organization
I20180322000632 TX Practitioner - Nurse Practitioner 1254613722 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
ChugachmiutGroup PAC ID 0648161141, 9 clinicians

Practice addresses (Care Compare)

1 Maqiq St
Nanwalek Clinic
Nanwalek, AK 99603-6623
Phone (907) 281-2250

625 Main St
Chenega, AK 99574-8029
Phone (907) 573-5129

63998 Graham Rd
Unit 3
Port Graham, AK 99603-5530
Phone (907) 284-2241

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102398AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chugachmiut Current Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Mar 1, 2018 Accepting new patients
Chugachmiut CurrentSince Oct 31, 2016 Accepting new patients
Chugachmiut CurrentSince Oct 31, 2016 Accepting new patients
Southcentral Foundation Past Accepting new patients
Southcentral Foundation Past Accepting new patients

Locations

1840 Bragaw St
Ste 110
Anchorage, AK 99508
Phone (907) 562-4155

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000

2035 Seward Hwy
Seward, AK 99664
Phone (907) 224-3490

Interoperability endpoints

  • Direct secure messaging: avelsko@direct.chugachmiut.org

Organizations & group practices 6

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1881063295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8023",
            "address_2": "MAQIQ STREET",
            "city": "NANWALEK",
            "state": "AK",
            "postal_code": "996036623",
            "telephone_number": "907-281-2250",
            "fax_number": "907-281-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAQIQ STREET",
            "city": "NANWALEK",
            "state": "AK",
            "postal_code": "996036623",
            "telephone_number": "907-281-2250",
            "fax_number": "907-281-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELSKO",
        "first_name": "AMY",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "ANP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "102398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanwalek, AK

Sources for this page

Verify at the official NPI Registry.