Individual provider Active NPI

Jill Marie Jasinski, NP-C

  • Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1891949277
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
137935 Issued in AK
Practice address
673 MDG JB Elmendorf Richardson Usaf
5955 Zeamer Ave.
Anchorage, AK 99506
Phone
(907) 580-0014
NPI assigned
Nov 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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 137935 AK Primary

Addresses

Primary practice location

673 MDG JB Elmendorf Richardson Usaf
5955 Zeamer Ave.
Anchorage, AK 99506

Mailing address

673 MDG Jber Usaf
5955 Zeamer Ave.
Anchorage, AK 99506
Phone (907) 580-0014

Other identifiers 1

IdentifierTypeStateIssuer
137935OtherAKSTATE LICENSE

Medicare participation

Medicare enrollment files
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.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Spine & Pain Center, LLC CurrentSince Apr 26, 2018 Accepting new patients

Locations

500 E Benson Blvd
Ste 103
Anchorage, AK 99503
Phone (907) 250-9441

Interoperability endpoints

  • Direct secure messaging: jill.jasinski.p1@direct.crossroadmc.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1891949277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 MDG JBER USAF",
            "address_2": "5955 ZEAMER AVE.",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99506",
            "telephone_number": "907-580-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 MDG JB ELMENDORF RICHARDSON USAF",
            "address_2": "5955 ZEAMER AVE.",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99506",
            "telephone_number": "907-580-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASINSKI",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "137935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "137935",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.