NANCY J OUIMET MD
Accepted Insurance for NPI 1285649731
Pediatrics in Eagle River, AK
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
NANCY J OUIMET MD, a pediatrics provider in Eagle River, AK, is listed as in-network for 15 health insurance plans from 2 insurance companies, led by Providence Health Plan and Moda Health Plan, Inc.. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Moda Health Plan, Inc.
Moda Select Alaska Bronze 6500
Moda Select Alaska Bronze HDHP 5500
Moda Select Alaska Gold 1500
Moda Select Alaska Silver 4500
Moda Select Alaska Standard Bronze
Moda Select Alaska Standard Gold
Moda Select Alaska Standard Silver
Providence Health Plan
HSA Qualified 7500 Bronze - Choice Network
HSA-E Qualified 7500 Bronze - Signature Network
Providence Oregon Standard Bronze Plan - Choice Network
Providence Oregon Standard Bronze Plan - Signature Network
Providence Oregon Standard Gold Plan - Choice Network
Providence Oregon Standard Gold Plan - Signature Network
Providence Oregon Standard Silver Plan - Choice Network
Providence Oregon Standard Silver Plan - Signature Network
Coverage Questions FAQs
Common questions about this provider’s insurance participation, answered from the CMS Health Insurance Marketplace and Medicare enrollment files.
What insurance does NANCY J OUIMET MD accept?
Marketplace files for the 2026 plan year list NANCY J OUIMET MD as in-network for 15 plans from 2 insurance companies. The largest networks are Providence Health Plan (8 plans), Moda Health Plan, Inc. (7 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is NANCY J OUIMET MD enrolled in Medicare?
The CMS Medicare enrollment files linked to this NPI do not currently show a Medicare assignment or PECOS enrollment indicator. Registry files can lag recent enrollment changes, so verify Medicare participation directly with the practice.
What network types does NANCY J OUIMET MD participate in?
The accepted plans include 8 EPO plans and 7 PPO plans. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals.
Where does this insurance data come from and how current is it?
Plan participation is compiled from the official CMS Health Insurance Marketplace public use files for the 2026 plan year and refreshed as CMS publishes updated files. Networks change during the year, so always verify coverage with the insurance company or the provider's office before scheduling care.
