Individual provider Active NPI

Jennifer T Di Cecco, CRNP

  • Primary Care Nurse Practitioner
  • Soldotna, AK
National Provider Identifier
1932156551
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
200646 Issued in AK
Practice address
39173 Whisper West Court
Soldotna, AK 99669
Phone
(205) 396-6992
Fax
(907) 416-3345
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704431628 MI
Nurse Practitioner 363L00000X AP60814170 WA
Primary Care Nurse Practitioner 363LP2300X 200646 AK Primary

Addresses

Primary practice location

39173 Whisper West Court
Soldotna, AK 99669

Mailing address

39173 Whisper West Court
Soldotna, AK 99669
Phone (205) 396-6992

Other practice location 1

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

Other practice location 2

301 N Main St
Sheridan, MI 48884-9235
Phone (303) 390-1940

Other practice location 3

39178 Whisper West Ct
Soldotna, AK 99669-9040
Phone (205) 396-6992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, WA, TX, MI, AK5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20140815000757 NM Practitioner - Nurse Practitioner 5496795742 Reassigns benefits to 4 organizations
I20180306000108 WA Practitioner - Nurse Practitioner 5496795742 Reassigns benefits to 5 organizations
I20241028001920 TX Practitioner - Nurse Practitioner 5496795742 Reassigns benefits to 1 organization
I20250726000136 MI Practitioner - Nurse Practitioner 5496795742 Reassigns benefits to 1 organization
I20260519001670 AK Practitioner - Nurse Practitioner 5496795742

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arizona College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Okanogan County Public Hospital Dist No 4Group PAC ID 9335051150, shared by 4 NPIs, 43 clinicians
Okanogan Douglas County Hospital Dist 1Group PAC ID 7810882792, shared by 4 NPIs, 34 clinicians
Ahtna T' Aene Nene'Group PAC ID 3072404607, 14 clinicians

Practice addresses (Care Compare)

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

415 Hospital Way
Brewster, WA 98812-0577
Phone (509) 689-3749

507 Hospital Way
Brewster, WA 98812-0019
Phone (509) 689-2517

Mile 111 5 Richardson Hwy
Copper River Native Association
Copper Center, AK 99573-0508
Phone (907) 822-5241

PO Box
Suite 577
Brewster, WA 98812-0577

Hospital & facility affiliations

  • North Valley Hospital Hospital, Tonasket, WA, CCN 501321
  • Trios Health Hospital, Kennewick, WA, CCN 500053
  • North Valley Hospital Nursing home, CCN 50Z321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704431628MIMDNurse Practitioner
AP60814170WAMDNurse Practitioner
200646AKMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ahtna T' Aene Nene' CurrentSince Apr 28, 2025 Accepting new patients
Fedko Emergency Physicians New Mexico LLC CurrentSince Mar 12, 2024 Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Oct 1, 2025 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc. Current Accepting new patients
Rural Physicians Group-Pannu PLLC Nurse Practitioner CurrentSince Jul 22, 2025 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Aug 15, 2025 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc CurrentSince Jul 4, 2020 Accepting new patients
Okanogan Douglas County Hospital Dist 1 Current Accepting new patients
Sound Physicians Emergency Medicine of Washington PLLC Nurse Practitioner CurrentSince Apr 1, 2025 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc CurrentSince Jul 4, 2020 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Aug 15, 2025 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2026 Accepting new patients
Okanogan Douglas County Hospital Dist1 CurrentSince Oct 1, 2025 Accepting new patients
Four Corners Emergency Physicians PLLC CurrentSince Aug 26, 2022 Accepting new patients
Curry Emergency Group LLC Nurse Practitioner CurrentSince Mar 17, 2019 Accepting new patients
Mackinac Straits Health System Inc Past Accepting new patients
Jackson Montgomery Emergency Physcians, LLC Past Accepting new patients
Mackinac Straits Health System Inc Past Accepting new patients
Mackinac Straits Health System Inc Past Accepting new patients
Sheridan Community Hospital Past Accepting new patients
Rural Physicians Group-Pannu PLLC Past Accepting new patients
Southern Medical Group, Inc Past Accepting new patients
Michael a Rowley MD PA Past Accepting new patients
Carraway Emergency Physicians, LLC Past Accepting new patients

Locations

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466

301 N Main St
Sheridan, MI 48884
Phone (989) 291-3261

805 W Cedar St
Standish, MI 48658
Phone (989) 846-3500

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000

1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446

42121 US Highway 70
Portales, NM 88130
Phone (505) 226-3627

301 E Miel de Luna Ave
Tucumcari, NM 88401
Phone (575) 461-7000

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

1617 Main St
Oroville, WA 98844
Phone (509) 476-3631

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

203 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2151

Organizations & group practices 25

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.

View all 25

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1932156551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39173 WHISPER WEST COURT",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "205-396-6992",
            "fax_number": "907-416-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39173 WHISPER WEST COURT",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "205-396-6992",
            "fax_number": "907-416-3345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Tonasket",
            "state": "WA",
            "postal_code": "988558803",
            "country_code": "US",
            "telephone_number": "509-486-2151",
            "fax_number": "509-269-2391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 N Main St",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "MI",
            "postal_code": "488849235",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39178 Whisper West Ct",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996699040",
            "country_code": "US",
            "telephone_number": "205-396-6992",
            "fax_number": "907-416-3345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DI CECCO",
        "first_name": "JENNIFER",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704431628",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60814170",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AK",
            "license": "200646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

Verify at the official NPI Registry.