Active NPI
Linda J Werner, MD
- Internal Medicine Physician
- Soldotna, AK
National Provider Identifier
1912995671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 6597
- Practice address
- 230 E Marydale Ave Ste 1
Soldotna, AK 99669 - Phone
- (907) 262-3119
- Fax
- (907) 262-9290
- NPI assigned
- Oct 7, 2005
- Last updated
- Oct 15, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301071662 | MI | |
| Internal Medicine Physician | 207R00000X | 29529-020 | WI | |
| Internal Medicine Physician | 207R00000X | 6597 | AK | Primary |
Addresses
Primary practice location
230 E Marydale Ave Ste 1
Soldotna, AK 99669
Mailing address
PO Box 2949
Soldotna, AK 99669-2949
Phone (907) 262-3119
Other practice location 1
247 N Fireweed St Ste A
Soldotna, AK 99669-7593
Phone (907) 262-8597
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K164556 | Other | AK | MEDICARE PTAN |
| 389588041 | Other | CA | TRICARE |
| MD9296 | Medicaid | AK | |
| 389588041900 | Other | WI | BCBS |
| K0000WCVBS | Other | AK | MEDICARE PRACTICE PTAN PENINSULA INTERNAL MEDICINE |
| P00168644 | Other | WI | RR-MEDICARE |
| 31530100 | Medicaid | WI |
Other names 1
- Linda Janet Werner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29529-020 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northreach Healthcare, LLC | Past | Accepting new patients | |
| Northreach Healthcare LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bellin Health Northreach URGENT CARE
- Urgent Care Clinic/Center
- Marinette, WI
- NPI 1518367226
-
dba Daggett Medical Clinic
- Family Medicine Physician
- Daggett, MI
- NPI 1033261623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539561600000",
"number": "1912995671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2949",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996692949",
"telephone_number": "907-262-3119",
"fax_number": "907-262-9290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 E MARYDALE AVE STE 1",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "99669",
"telephone_number": "907-262-3119",
"fax_number": "907-262-9290"
}
],
"practiceLocations": [
{
"address_1": "247 N Fireweed St Ste A",
"address_purpose": "LOCATION",
"city": "Soldotna",
"state": "AK",
"postal_code": "996697593",
"country_code": "US",
"telephone_number": "907-262-8597",
"fax_number": "907-262-6516",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WERNER",
"first_name": "LINDA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-07",
"last_updated": "2018-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301071662",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "29529-020",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AK",
"license": "6597",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "K164556",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "389588041",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD9296",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "389588041900",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PRACTICE PTAN PENINSULA INTERNAL MEDICINE",
"identifier": "K0000WCVBS",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR-MEDICARE",
"identifier": "P00168644",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31530100",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "WERNER",
"middle_name": "JANET",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Soldotna, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.