DAVID N AMPONG
NPI 1104464460
Nurse Practitioner - Psychiatric/Mental Health in Anchorage, AK
About David N Ampong NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID N AMPONG (NPI 1104464460), doing business as Alaska Treatment Center, is a healthcare organization registered as a psychiatric/mental health in Anchorage, Alaska and active in the NPI registry since December 2019. The organization lists Jennifer Mcdermott, Credentialing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
David N Ampong is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to David N Ampong, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 David N Ampong's NPI number?
The NPI number for David N Ampong is 1104464460. It was assigned to this organization in the NPPES registry on December 18, 2019. The provider is doing business as Alaska Treatment Center.
Where is David N Ampong located?
David N Ampong is located at 1577 C St Ste 201, Anchorage, AK 99501. The listed phone number is (907) 538-9958.
What is David N Ampong's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is David N Ampong enrolled in Medicare?
Yes. David N Ampong is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through David N Ampong?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to David N Ampong. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Clinical Social Worker (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does David N Ampong accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list David N Ampong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for David N Ampong was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# David N Ampong · NPI 1104464460
Psychiatric/Mental Health organization in Anchorage, Alaska. Organization record, active in the CMS NPPES registry since December 18, 2019.
## Identity
- **NPI:** 1104464460 (Entity type: Organization)
- **Enumerated:** December 18, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** Alaska Treatment Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jennifer Mcdermott, CREDENTIALING SPECIALIST
## Practice location
- **Address:** 1577 C ST STE 201, Anchorage, AK 99501-5164
- **Phone:** (907) 538-9958 · **Fax:** (907) 865-2433
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Clinical Social Worker (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2025
- **Other identifiers:** Medicaid 1701389 (AK)
---
Source: [NPI Profile](https://npiprofile.com/npi/1104464460) · Data from the CMS NPPES public registry.