ALYSAN ANN QUENNELL
NPI 1073477147
Peer Specialist in Wasilla, AK

Active since December 12, 2025
1363 W SPRUCE AVE, WASILLA, AK 99654(907) 376-2411 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alysan Ann Quennell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSAN ANN QUENNELL (NPI 1073477147) is an individual peer specialist in Wasilla, Alaska and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1073477147
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameALYSAN ANN QUENNELL
Location Address1363 W SPRUCE AVEWasilla, AK 99654-5327
Mailing Address1363 W Spruce AveWasilla, AK 99654-5327 · (907) 376-2411
Sole ProprietorNo
Enumeration DateDecember 12, 2025
NPPES CertifiedDecember 12, 2025
NPI 1073477147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1363 W SPRUCE AVE, Wasilla, AK 99654

Other Names 1

Other Name (5)Icarus Quennell

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1363 W SPRUCE AVE
WASILLA, AK 99654
Nurse Practitioner (Family)
1363 W SPRUCE AVE
WASILLA, AK 99654
Case Manager/Care Coordinator
1363 W SPRUCE AVE
WASILLA, AK 99654
Peer Specialist
1363 W SPRUCE AVE
WASILLA, AK 99654
Nurse Practitioner (Family)
1363 W SPRUCE AVE
WASILLA, AK 99654
Social Worker (Clinical)
1363 W SPRUCE AVE
WASILLA, AK 99654
Peer Specialist
1363 W SPRUCE AVE
WASILLA, AK 99654
Peer Specialist
1363 W SPRUCE AVE
WASILLA, AK 99654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alysan Quennell's NPI number?

The NPI number for Alysan Quennell is 1073477147. It was assigned to this individual provider in the NPPES registry on December 12, 2025. The provider is also known as Icarus Quennell.

Where is Alysan Quennell located?

Alysan Quennell practices at 1363 W Spruce Ave, Wasilla, AK 99654. The listed phone number is (907) 376-2411.

What is Alysan Quennell's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Alysan Quennell was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.