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

Individual provider Acute Care Nurse Practitioner · NPI 1780912550

Kelly Nicole St John, ACNP is a Nurse Practitioner in Anchorage, Alaska. Qualified in 2009, 17 years ago. Practices with Alaska Native Tribal Health Consortium, a 603-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alaska.

Years since qualifying
17
Licensed in
AK
In the registry since
2009
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

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Practice location Address checks out

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone: (907) 729-4750
Fax: (907) 729-1831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1118 (AK)

Record details

NPI number1780912550
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP
Sole proprietorNo
NPI enumeratedDecember 5, 2009
Last updated in NPPESJanuary 21, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Alaska Native Tribal Health Consortium — 603 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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