Active NPI
Wendi Suzzette Alejandre, CNM
- Advanced Practice Midwife
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 10029386
- Practice address
- 4320 Diplomacy Dr
Anchorage, AK 99508-5925 - Phone
- (907) 729-3100
- NPI assigned
- Feb 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 119087 | AK | |
| Advanced Practice Midwife | 367A00000X | 10029386 | OR | Primary |
Addresses
Primary practice location
4320 Diplomacy Dr
Anchorage, AK 99508-5925
Mailing address
4002 Lakehurst Cir
Unit 1
Anchorage, AK 99502-4917
Phone (907) 952-6011
Other names 1
- Wendi Suzzette Manumalo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AK, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170327002427 | TX | Practitioner - Certified Nurse Midwife (CNM) | 3971888355 | Reassigns benefits to 2 organizations |
| I20220527002058 | AK | Practitioner - Certified Nurse Midwife (CNM) | 3971888355 | Reassigns benefits to 1 organization |
| I20241203002767 | OR | Practitioner - Certified Nurse Midwife (CNM) | 3971888355 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.93 of 100
- Quality
- 70.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10029386 | OR | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Alaska, P.C. | Current | Accepting new patients | |
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Alaska Native Tribal Health Consortium | Past | Accepting new patients |
Locations
3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000
665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634
875 Oak St SE
Salem, OR 97301
Phone (503) 561-5719
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736
Interoperability endpoints
- wmanumalo@direct.scf.cc
Organizations & group practices 7
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- McGrath, AK
- NPI 1780614263
TX
-
- Multi-Specialty Clinic/Center
- Wasilla, AK
- NPI 1386680056
-
- Durable Medical Equipment & Medical Supplies
- Keizer, OR
- NPI 1487434775
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1093924458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1891233136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4002 LAKEHURST CIR",
"address_2": "UNIT 1",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995024917",
"telephone_number": "907-952-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 DIPLOMACY DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085925",
"telephone_number": "907-729-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEJANDRE",
"first_name": "WENDI",
"middle_name": "SUZZETTE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AK",
"license": "119087",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OR",
"license": "10029386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WENDI",
"last_name": "MANUMALO",
"middle_name": "SUZZETTE",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.