Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly F Revels, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1912664418

Kimberly F Revels, AGACNP-BC is a Nurse Practitioner in Anchorage, Alaska. Qualified in 2021, 5 years ago. Practices with Alaska Native Tribal Health Consortium, a 603-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
5
Licensed in
AK
In the registry since
2021
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Practice location Address checks out

3200 Tayshee Cir
Anchorage, AK 99504-3950
Phone: (907) 830-7525
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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 184390 (AK)

Record details

NPI number1912664418
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedNovember 19, 2021
Last updated in NPPESNovember 19, 2021
Certification dateSeptember 5, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Alaska Native Tribal Health Consortium — 603 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Anchorage