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EAGLE RIVER BEHAVIORAL HEALTH, LLC
NPI 1366062903
Nurse Practitioner - Psychiatric/Mental Health in Eagle River, AK

Active since April 23, 2020
12812 OLD GLENN HWY STE C4, EAGLE RIVER, AK 99577(907) 726-0378(907) 726-0374 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2023, Mar 9, 2022, May 14, 2021 and 3 more (6 updates tracked since 2020).

About Eagle River Behavioral Health, Llc NPPES

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

EAGLE RIVER BEHAVIORAL HEALTH, LLC (NPI 1366062903) is a healthcare organization registered as a psychiatric/mental health in Eagle River, Alaska and active in the NPI registry since April 2020. The organization maintains a secondary practice location in Eagle River and lists Zan Whitman, Provider, as its authorized official.

NPPES Registry Identity

NPI1366062903
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameEAGLE RIVER BEHAVIORAL HEALTH, LLC
Location Address12812 OLD GLENN HWY STE C4Eagle River, AK 99577-7002
Mailing AddressPo Box 770870Eagle River, AK 99577-0870 · (907) 290-7033 · Fax (206) 726-0374
Phone(907) 726-0378
Fax(907) 726-0374
Organization SubpartNo
Authorized OfficialZan WhitmanProvider · (907) 726-0378
Enumeration DateApril 23, 2020
Last NPPES UpdateMay 1, 20236 updates tracked since enumeration
NPPES CertifiedMay 1, 2023
✔ NPI 1366062903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
12812 OLD GLENN HWY STE C4, Eagle River, AK 99577
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Secondary Practice Location 1

Location 110928 Eagle River Rd Ste 210Eagle River, AK 99577-8078 · Phone (907) 726-0378 · Fax (907) 726-0374

Other Identifiers 1

Medicaid240808AK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 2

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

EAGLE RIVER BEHAVIORAL HEALTH
Psychiatry & Neurology (Psychiatry)
12812 OLD GLENN HWY STE C4
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 726-0378
ZAN MICHAEL WHITMAN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
12812 OLD GLENN HWY STE C4
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 726-0378

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 Eagle River Behavioral Health, LLC's NPI number?

The NPI number for Eagle River Behavioral Health, LLC is 1366062903. It was assigned to this organization in the NPPES registry on April 23, 2020.

Where is Eagle River Behavioral Health, LLC located?

Eagle River Behavioral Health, LLC is located at 12812 Old Glenn Hwy Ste C4, Eagle River, AK 99577. The listed phone number is (907) 726-0378.

What is Eagle River Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Eagle River Behavioral Health, LLC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Eagle River Behavioral Health, LLC 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 Eagle River Behavioral Health, LLC was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.