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DR. MARY ALICE JOHNSON M.D.
NPI 1386759751
Pediatrics - Neonatal-Perinatal Medicine in Anchorage, AK

Active since August 19, 2006PECOS Enrolled
3340 PROVIDENCE DR, SUITE 366, ANCHORAGE, AK 99508(907) 563-3026(907) 562-6445 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mary Alice Johnson M.d. NPPES

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

DR. MARY ALICE JOHNSON M.D. (NPI 1386759751) is an individual neonatal-perinatal medicine provider in Anchorage, Alaska, licensed in Alaska (3976) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386759751
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. MARY ALICE JOHNSONCredential: M.D.
Location Address3340 PROVIDENCE DR, SUITE 366Anchorage, AK 99508-4616
Mailing Address3340 Providence Dr, Suite 366Anchorage, AK 99508-4616 · (907) 563-3026 · Fax (907) 562-6445
Phone(907) 563-3026
Fax(907) 562-6445
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1386759751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in AK · 3976
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
3340 PROVIDENCE DR, Anchorage, AK 99508
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Other Identifiers 1

MedicaidPENDINGAK

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Alice Johnson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

SANDRA FRENIER CPNP
Nurse Practitioner (Pediatrics)
3340 PROVIDENCE DR, SUITE 452
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-2120
WENDY BAILEY MD
Pediatrics (Pediatric Endocrinology)
3340 PROVIDENCE DR, SUITE A-351
ANCHORAGE, AK 99508
Anchorage Municipality (907) 212-4824
SAGE ASHER RN
Registered Nurse
3340 PROVIDENCE DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 212-3607
STEPHANIE S FORTT LCSW
Social Worker (Clinical)
3340 PROVIDENCE DR, SUITE A351
ANCHORAGE, AK 99508
Anchorage Municipality (907) 212-4824
JODYNE L BUTTO MD
Pediatrics
3340 PROVIDENCE DR, STE 500
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-2423
NICOLE KOPACZ ANP
Nurse Practitioner (Family)
3340 PROVIDENCE DR, SUITE 452
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-2120
DR. JOHN M. SNYDER MD
Surgery
3340 PROVIDENCE DR, 457
ANCHORAGE, AK 99508
Anchorage Municipality (907) 333-8854
CHARLES RYAN MD
Pediatrics
3340 PROVIDENCE DR, STE 500
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-2423

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 Mary Johnson's NPI number?

The NPI number for Mary Johnson is 1386759751. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Mary Johnson located?

Mary Johnson practices at 3340 Providence Dr Suite 366, Anchorage, AK 99508. The listed phone number is (907) 563-3026.

What is Mary Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Mary Johnson enrolled in Medicare?

Yes. Mary Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Mary Johnson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Mary Johnson 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 Mary Johnson was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.