HEIDE PROVENCHER APRN
NPI 1801228788
Nurse Practitioner - Psychiatric/Mental Health in Hope, AK

Active since August 02, 2013Opted out of Medicare · through Jan 1, 2028

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2020, May 11, 2016 (2 updates tracked since 2016).

About Heide Provencher Aprn NPPES

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

HEIDE PROVENCHER APRN (NPI 1801228788) is an individual psychiatric/mental health provider in Hope, Alaska, licensed in Alaska (1343) and active in the NPI registry since August 2013. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1801228788
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameHEIDE PROVENCHERCredential: APRN
Location AddressPO BOX 174Hope, AK 99605-0174
Mailing Address2437 Ingra StAnchorage, AK 99508-3945 · (907) 227-6610
Sole ProprietorNo
Enumeration DateAugust 2, 2013
Last NPPES UpdateFebruary 18, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2026
NPI 1801228788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in AK · 1343
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1343 (AK)
PO BOX 174, Hope, AK 99605

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Heide Provencher Aprn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Heide Provencher's NPI number?

The NPI number for Heide Provencher is 1801228788. It was assigned to this individual provider in the NPPES registry on August 2, 2013.

Where is Heide Provencher located?

Heide Provencher practices at PO Box 174, Hope, AK 99605. The listed phone number is (907) 227-6610.

What is Heide Provencher's specialty?

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

Is Heide Provencher enrolled in Medicare?

No. Heide Provencher has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Heide Provencher accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Heide Provencher 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 Heide Provencher was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.