Individual provider Active NPI

Hannah Diamond McKinney, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1942920525
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
213985 Issued in AK
Practice address
4020 Folker St
Anchorage, AK 99508-5386
Phone
(907) 563-1000
NPI assigned
Sep 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 46316 WY
Registered Nurse 163W00000X 207882 AK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 213985 AK Primary

Addresses

Primary practice location

4020 Folker St
Anchorage, AK 99508-5386

Mailing address

4020 Folker St
Anchorage, AK 99508-5386
Phone (907) 563-1000

Other practice location 1

13819 Canyon Rd
Anchorage, AK 99516-6905
Phone (307) 413-8290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231106001967 AK Practitioner - Nurse Practitioner 9638526171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1423 Peger Rd
Fairbanks, AK 99709-5169
Phone (907) 371-1300

4020 Folker St
Anchorage, AK 99508-5386
Phone (907) 563-1000

4120 Laurel St
Suite 200
Anchorage, AK 99508-5392
Phone (907) 563-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46316WYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorage Community Mental Health Services Inc. Current Accepting new patients
Anchorage Community Mental Health Services, Inc CurrentSince Oct 1, 2023 Accepting new patients
Anchorage Community Mental Health Services, Inc CurrentSince Oct 1, 2023 Accepting new patients

Locations

4045 Lake Otis Pkwy
Ste 209
Anchorage, AK 99508
Phone (907) 561-5440

4020 Folker St
Anchorage, AK 99508
Phone (907) 561-0954

1423 Peger Rd
Fairbanks, AK 99709
Phone (907) 371-1300

Organizations & group practices 3

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": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1942920525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 FOLKER ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085386",
            "telephone_number": "907-563-1000",
            "fax_number": "907-561-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 FOLKER ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085386",
            "telephone_number": "907-563-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13819 Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995166905",
            "country_code": "US",
            "telephone_number": "307-413-8290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "HANNAH",
        "middle_name": "DIAMOND",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WY",
            "license": "46316",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "207882",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "213985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.