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

Q: What is Power Of Wellness Health Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

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About Power Of Wellness Health Services Llc NPPES

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

POWER OF WELLNESS HEALTH SERVICES LLC (NPI 1720635840) is a healthcare organization registered as a primary care in Ketchikan, Alaska and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through September 25, 2027 and lists Amanda Hulstine, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1720635840

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NamePOWER OF WELLNESS HEALTH SERVICES LLC

Location Address3528 TONGASS AVEKetchikan, AK 99901-5635

Mailing AddressPo Box 7691Ketchikan, AK 99901-2691 · (866) 243-7203 · Fax (833) 243-7203

Phone(907) 220-4447

Fax(907) 247-8782

Organization SubpartNo

Authorized OfficialAmanda HulstineOwner/provider · (866) 243-7203

Enumeration DateAugust 22, 2019

Last NPPES UpdateNovember 30, 20203 updates tracked since enumeration

NPPES CertifiedNovember 30, 2020

✔ NPI 1720635840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

3528 TONGASS AVE, Ketchikan, AK 99901

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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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 02D2172658

Power Of Wellness Health Services, LLC · Ketchikan, AK

Active · expires Sep 25, 2027

CLIA Number02D2172658

Laboratory TypeFnp Owned Clinic

Certificate Effective DateSeptember 26, 2025

Certificate Expiration DateSeptember 25, 2027

Laboratory DirectorAmanda E. Hulstine

Laboratory Phone(907) 220-4447

Laboratory LocationPower Of Wellness Health Services, LLC3528 Tongass Ave, Ketchikan, AK 99901

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

CHELSEA YOUMANS, FNP LLC

Clinic/Center (Primary Care)