Sandra Lee Ann Mahoney, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

942 Issued in AK

Practice address

3976 University Lake Dr Ste 300
Anchorage, AK 99508-4644

Phone

(907) 222-9930

Fax

(907) 222-9931

NPI assigned

Mar 22, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9026/brand/1/csg/1/fhir/r4
• Direct secure messaging: s.mahoney@denaliobgyn.directbygreenway.com

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.

• Avante Medical Center, LLC

  • Nurse Practitioner
  • Anchorage, AK
  • NPI 1891924163
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881711398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3976 UNIVERSITY LAKE DRIVE, STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084644",
            "telephone_number": "907-222-9930",
            "fax_number": "907-222-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3976 UNIVERSITY LAKE DR STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084644",
            "telephone_number": "907-222-9930",
            "fax_number": "907-222-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "SANDRA",
        "middle_name": "LEE ANN",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AK",
            "license": "942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1581140",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tsaina V Mahlen, DO
• Mamudu Mahmoud
• Victoria Nicole Mahon, PHARMD
• Coral J Mahoney
• Paige Elizabeth Mahoney, LMT
• Julia Crystal Mahosky, LMT
• Maile Assisted Living Home
• Lawrence Jess Maile, PH.D.
• Kathy Eileen Mailelle
• Karen Mailer, MD

• Adult Health Nurse Practitioner in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Adult Health Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.