MS. MICHELLE ANN ROUNTREE FNP-C NPI 1912343815

NPI Information

NPI: 1912343815
Provider Name: MS. MICHELLE ANN ROUNTREE, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3719 E MERIDIAN LOOP STE F
WASILLA, AK
ZIP 99654
Phone: (907) 373-5940
Get Directions

MS. Michelle Ann Rountree, FNP-C is a family nurse practitioner in Wasilla, AK. MS. Michelle Ann Rountree, FNP-C NPI is 1912343815. 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:

3719 E MERIDIAN LOOP STE F
WASILLA, AK
ZIP 99654-273
Phone: (907) 373-5940
Fax: (907) 373-5947

The NPI 1912343815 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 5/17/2013 and was last updated on 5/27/2020.

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	163WC1500X	Registered Nurse	Community Health	25227	ALASKA	No
2	363LF0000X	Nurse Practitioner	Family	142818	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	1912343815	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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