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

Enos Cheruiyot Ngetich, RN, NP-C

Individual provider Nurse Practitioner · NPI 1396019188

Enos Cheruiyot Ngetich, RN, NP-C is a Nurse Practitioner in Wasilla, Alaska. Qualified in 2012, 14 years ago. Practices with Southcentral Foundation, a 170-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska and Alabama.

Years since qualifying
14
Licensed in
AK, AL
In the registry since
2012
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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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.

Additional practice locations (1)

  • 4316 Ridgemont Cir, Birmingham, AL 35244-1253 — (205) 240-8289

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 207668 (AK)
Nurse Practitioner Taxonomy 363L00000X · Licence 1-118645 (AL)

Record details

NPI number1396019188
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , NP-C
Sole proprietorNo
NPI enumeratedFebruary 27, 2012
Last updated in NPPESMarch 14, 2025
Certification dateMarch 14, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Southcentral Foundation — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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