Individual provider Active NPI

Tamara Simpson, ANP

  • Nurse Practitioner
  • Wasilla, AK
National Provider Identifier
1881128643
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
121546 Issued in AK
Practice address
1751 E Gardner Way Ste D
Wasilla, AK 99654-6564
Phone
(907) 373-5950
Fax
(907) 373-5954
NPI assigned
Apr 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 121546 AK Primary

Addresses

Primary practice location

1751 E Gardner Way Ste D
Wasilla, AK 99654-6564

Mailing address

1751 E Gardner Way Ste D
Wasilla, AK 99654-6564
Phone (907) 373-5950

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
I20170602002062 AK Practitioner - Nurse Practitioner 4981971496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Cottonwood Creek Clinic LLCGroup PAC ID 7810212784, 4 clinicians

Practice addresses (Care Compare)

1700 E Bogard Rd
Suite B203
Wasilla, AK 99654-6570
Phone (907) 921-5088

3600 E Wickersham Way
Wasilla, AK 99654-7550
Phone (907) 373-5950

Hospital & facility affiliations

  • Ancora Home Health & Hospice Home health agency, Wasilla, AK, CCN 027008
  • Mat-Su Regional Medical Center Hospital, Palmer, AK, CCN 020006
  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Merit-based Incentive Payment System (MIPS)

Final score
18.07 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
60.25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care at Lake Lucille Inc CurrentSince Sep 5, 2018 Accepting new patients
Cottonwood Creek Clinic LLC CurrentSince May 1, 2017 Accepting new patients

Locations

185 E Parks Hwy
Wasilla, AK 99654
Phone (907) 373-4200

1751 E Gardner Way
Ste D
Wasilla, AK 99654
Phone (907) 373-5950

3600 E Wickersham Way
Wasilla, AK 99654
Phone (907) 373-5950

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/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 and National Provider Directory roles.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1881128643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 E GARDNER WAY STE D",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546564",
            "telephone_number": "907-373-5950",
            "fax_number": "907-373-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 E GARDNER WAY STE D",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546564",
            "telephone_number": "907-373-5950",
            "fax_number": "907-373-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "TAMARA",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "121546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

Verify at the official NPI Registry.