Active NPI
Jennifer T Di Cecco, CRNP
- Primary Care Nurse Practitioner
- Soldotna, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 200646
- 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
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 |
|---|---|---|---|---|
| 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, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
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 4Okanogan Douglas County Hospital Dist 1
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
- Trios Health
- North Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704431628 | MI | MD | Nurse Practitioner |
| AP60814170 | WA | MD | Nurse Practitioner |
| 200646 | AK | MD | Primary Care Nurse Practitioner |
Practice roles
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.
-
- Emergency Medicine Physician
- Grants, NM
- NPI 1770047441
-
- Emergency Medicine Physician
- Alamogordo, NM
- NPI 1144793464
-
- Critical Access Hospital
- Tonasket, WA
- NPI 1164580700
-
- Medical Specialty Clinic/Center
- Tonasket, WA
- NPI 1750443834
-
- Critical Access Hospital
- Brewster, WA
- NPI 1205942257
-
- Critical Access Hospital
- Brewster, WA
- NPI 1356305395
-
- Critical Access Hospital
- Gallup, NM
- NPI 1689784506
-
- Emergency Medicine Physician
- Sedro Woolley, WA
- NPI 1629532064
Nurse Practitioner
-
- Emergency Medicine Physician
- Sheridan, MI
- NPI 1528090594
-
- Rural Health Clinic/Center
- Tonasket, WA
- NPI 1811555931
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Tonasket, WA
- NPI 1134281314
Nursing home
-
- Critical Access Hospital
- Tonasket, WA
- NPI 1164580700
-
- General Acute Care Hospital
- Kennewick, WA
- NPI 1578058137
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.