ELAINE PONCHIONE ANP RN PSY. A. NPI 1720162332

NPI Information

NPI: 1720162332
Provider Name: ELAINE PONCHIONE, ANP, RN, PSY. A.
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
250 CUSHMAN ST STE 3C
FAIRBANKS, AK
ZIP 99701
Phone: (907) 455-7801
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Elaine Ponchione, ANP, RN, PSY. A. is a psychiatric/mental health nurse practitioner in Fairbanks, AK with 16 years of experience. Elaine Ponchione, ANP, RN, PSY. A. NPI is 1720162332. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

250 CUSHMAN ST STE 3C
FAIRBANKS, AK
ZIP 99701-665
Phone: (907) 455-7801
Fax: (907) 455-7803

The NPI 1720162332 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 11/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC1900X	Psychologist	Counseling	491	ALASKA	No
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	4018	ALASKA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	1045	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K162139	OTHER	ALASKA	MEDICARE PTAN
2	NP6894	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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