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

Dr. Mary Elizabeth Mildenberger, DNP

Individual provider Family Nurse Practitioner · NPI 1265074454

Dr. Mary Elizabeth Mildenberger, DNP is a Nurse Practitioner in Wasilla, Alaska. Qualified in 2019, 7 years ago. Practices with Southcentral Foundation, a 170-clinician group and accepts Medicare assignment. Licensed in Alaska, Idaho and Oregon.

Years since qualifying
7
Licensed in
AK, ID, OR
In the registry since
2019
Specialties on file
3
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
Phone: (907) 631-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 179531 (AK)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 201909053NP-PP (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 62702 (ID)

Record details

NPI number1265074454
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedOctober 9, 2019
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southcentral Foundation — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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