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

Melanie J Kimmery, ANP

Individual provider Registered Nurse · NPI 1366548877

Melanie J Kimmery, ANP is a Nurse Practitioner in Wasilla, Alaska. Qualified in 2002, 24 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
24
Licensed in
AK
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1001 E Bogard Rd
Wasilla, AK 99654-7114
Phone: (907) 373-2225
Fax: (907) 376-9225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence NURU824 (AK)
Registered Nurse Taxonomy 163W00000X · Licence 824 (AK)

Record details

NPI number1366548877
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedSeptember 15, 2006
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Wasilla