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ANTHONY NEVIN
NPI 1932733268
Dietitian, Registered in Kodiak, AK

Active since February 25, 2020
1911 E REZANOF DR, KODIAK, AK 99615(907) 481-5000 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Anthony Nevin NPPES

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

ANTHONY NEVIN (NPI 1932733268) is an individual dietitian, registered in Kodiak, Alaska, licensed in Alaska (144854) and active in the NPI registry since February 2020. He is a graduate of Other (2018).

NPPES Registry Identity

NPI1932733268
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameANTHONY NEVIN
Location Address1911 E REZANOF DRKodiak, AK 99615-6602
Mailing Address1911 E Rezanof DrKodiak, AK 99615-6602 · (907) 481-5000
Phone(907) 481-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 25, 2020
✔ NPI 1932733268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in AK · 144854
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1911 E REZANOF DR, Kodiak, AK 99615
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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, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony Nevin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688004021
PECOS Enrollment IDI20200425000115

Medicare Billing Reassignment

Medicare enrollment records show Anthony Nevin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kodiak Island Health Care Foundation
0.1 mi
Federally Qualified Health Center (FQHC)
1911 E REZANOF DR.
Kodiak, AK 99615
  • Reassigned Medicare billing, Alaska enrollment
  • 18 clinicians in this Medicare group
NPI 1326047044 (907) 481-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

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

AMANDA N FLYNT PHARMD
Pharmacist
1911 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 481-5000
DR. PAUL VICTOR ZIMMER MD
Family Medicine
1911 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 481-5000
MELISSA WITTEVEEN PA-C
Physician Assistant
1911 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 481-5000
JENNA N WALKER APRN,FNP-BC
Nurse Practitioner
1911 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 481-5000
EMILY ABIGAIL MENDEZ MD
Family Medicine
1911 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 481-5000
KODIAK ISLAND HEALTH CARE FOUNDATION
Pharmacy (Community/Retail Pharmacy)
1911 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 481-5000
TAMMY HOLFORTY PA-C
Physician Assistant
1911 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 481-2484
MRS. LAURA MARIE WALTERS MD
Family Medicine
1911 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 481-5000

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 Anthony Nevin's NPI number?

The NPI number for Anthony Nevin is 1932733268. It was assigned to this individual provider in the NPPES registry on February 25, 2020.

Where is Anthony Nevin located?

Anthony Nevin practices at 1911 E Rezanof Dr, Kodiak, AK 99615. The listed phone number is (907) 481-5000.

What is Anthony Nevin's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Anthony Nevin enrolled in Medicare?

Yes. Anthony Nevin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anthony Nevin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Nevin reassigns Medicare benefits to Kodiak Island Health Care Foundation (Kodiak, AK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Nevin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Nevin accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Anthony Nevin 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 Anthony Nevin was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.