Active NPI
Kristen Eileen Nilsson
- Case Management Agency
- Anchorage, AK
National Provider Identifier
1982947248
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Aug 20, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Practice address
- 3710 Woodland Dr
Suite 1100
Anchorage, AK 99517-2555 - Phone
- (907) 677-6060
- Fax
- (907) 644-1548
- NPI assigned
- Apr 4, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | AK | ||
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
3710 Woodland Dr
Suite 1100
Anchorage, AK 99517-2555
Mailing address
3710 Woodland Dr
Suite 1100
Anchorage, AK 99517-2555
Phone (907) 677-6060
Other names 1
- Miss Kristen Eileen Merchant
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365120000000",
"number": "1982947248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 WOODLAND DR",
"address_2": "SUITE 1100",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995172555",
"telephone_number": "907-677-6060",
"fax_number": "907-644-1548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 WOODLAND DR",
"address_2": "SUITE 1100",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995172555",
"telephone_number": "907-677-6060",
"fax_number": "907-644-1548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NILSSON",
"first_name": "KRISTEN",
"middle_name": "EILEEN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-04",
"last_updated": "2013-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "AK",
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "MERCHANT",
"middle_name": "EILEEN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.