Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cynthia Kaye Phillips-Johnson, RN, AGNP

Individual provider Registered Nurse · NPI 1952407090

Cynthia Kaye Phillips-Johnson, RN, AGNP is a Nurse Practitioner in Wasilla, Alaska. Qualified in 2024, 2 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group and accepts Medicare assignment. Licensed in Alaska and Washington.

Years since qualifying
2
Licensed in
AK, WA
In the registry since
2006
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

See every abbreviation used in this directory →

Practice location Address checks out

3765 E Blue Lupine Dr Ste D
Wasilla, AK 99654-8417
Phone: (907) 707-1671
Fax: (907) 707-1675
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 224414 (AK)
Registered Nurse Taxonomy 163W00000X · Licence 141780 (AK)
Massage Therapist Taxonomy 225700000X · Licence MA00017451 (WA)

Record details

NPI number1952407090
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , AGNP
Sole proprietorNo
NPI enumeratedSeptember 16, 2006
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Wasilla