POWER OF WELLNESS HEALTH SERVICES LLC
NPI 1720635840
Nurse Practitioner - Primary Care in Ketchikan, AK

NPI Status: Active since August 22, 2019

Contact Information

3528 TONGASS AVE
KETCHIKAN, AK
ZIP 99901
Phone: (907) 220-4447
Fax: (907) 247-8782

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  • Organization
  • Nurse Practitioner
  • Primary Care
  • Accepts Insurance
  • CLIA Number: 02D2172658
  • CLIA Cert. Type: Other - FNP OWNED CLINIC
  • CLIA Exp. Date: 09-25-2027

About POWER OF WELLNESS HEALTH SERVICES LLC

This page provides the complete NPI Profile along with additional information for Power Of Wellness Health Services Llc, a provider established in Ketchikan, Alaska operating as a Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1720635840 assigned on August 2019. The practitioner's primary taxonomy code is 363LP2300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Amanda Hulstine Aprn (Owner/provider)

NPI
1720635840
Provider Name
POWER OF WELLNESS HEALTH SERVICES LLC
Entity Type
Organization
Location Address
3528 TONGASS AVE KETCHIKAN, AK 99901
Location Phone
(907) 220-4447
Location Fax
(907) 247-8782
Mailing Address
PO BOX 7691 KETCHIKAN, AK 99901
Mailing Phone
(866) 243-7203
Mailing Fax
(907) 247-8782
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-22-2019
Last Update Date
11-30-2020
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A nurse practitioner (NP) like Power Of Wellness Health Services Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Texas Bronze HDHP 7500 - EPO
  • Moda Select Texas Standard Bronze - EPO
  • Moda Select Texas Standard Gold - EPO
  • Moda Select Texas Standard Silver - EPO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMANDA HULSTINE APRN

Authorized Official Title
OWNER/PROVIDER
Authorized Official Phone
(866) 243-7203

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
02D2172658
Facility Type
Other - FNP OWNED CLINIC
Certificate Effective Date
September 26, 2025
Certificate Expiration Date
September 25, 2027
Laboratory Director
AMANDA E. HULSTINE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Power Of Wellness Health Services Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1720635840, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 6 → 12 → 3 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 4 + 0 + 1 + 2 + 3 + 1 + 0 + 8 + 8 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1720635840.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Clinic/Center (Primary Care)
3528 TONGASS AVE
KETCHIKAN, AK 99901
Nurse Practitioner (Family)
3528 TONGASS AVE
KETCHIKAN, AK 99901
Nursing Care
3528 TONGASS AVE
KETCHIKAN, AK 99901
Nurse Practitioner (Family)
3528 TONGASS AVE
KETCHIKAN, AK 99901
Nurse Practitioner (Family)
3528 TONGASS AVE
KETCHIKAN, AK 99901
Nurse Practitioner (Family)
3528 TONGASS AVE
KETCHIKAN, AK 99901
Nurse Practitioner (Family)
3528 TONGASS AVE
KETCHIKAN, AK 99901
Nurse Practitioner (Family)
3528 TONGASS AVE
KETCHIKAN, AK 99901
Nurse Practitioner (Family)
3528 TONGASS AVE
KETCHIKAN, AK 99901
Nurse Practitioner (Family)
3528 TONGASS AVE
KETCHIKAN, AK 99901
Nurse Practitioner (Family)
3528 TONGASS AVE
KETCHIKAN, AK 99901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720635840, enumerated as an "organization" on August 22, 2019.

The provider is located at 3528 TONGASS AVE KETCHIKAN, AK 99901 and the phone number is (907) 220-4447.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Moda Health Plan, Inc. and Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.