NURSES DIVERSIFIED SYSTEMS, INC
NPI 1972873784
Psychiatry & Neurology - Psychiatry in Fairbanks, AK

Active since January 10, 2012
815 2ND AVE STE 122, FAIRBANKS, AK 99701(907) 374-0852(907) 374-0854 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nurses Diversified Systems, Inc NPPES

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

NURSES DIVERSIFIED SYSTEMS, INC (NPI 1972873784) is a healthcare organization registered as a psychiatry in Fairbanks, Alaska and active in the NPI registry since January 2012. The organization maintains 2 additional practice locations and lists Teresa A Lyons, Director, as its authorized official.

NPPES Registry Identity

NPI1972873784
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameNURSES DIVERSIFIED SYSTEMS, INC
Location Address815 2ND AVE STE 122Fairbanks, AK 99701-4469
Mailing AddressPo Box 72376Fairbanks, AK 99707-2376 · (907) 750-8114
Fax(907) 374-0854
Organization SubpartNo
Authorized OfficialTeresa A LyonsDirector · (907) 750-8114
Enumeration DateJanuary 10, 2012
Last NPPES UpdateAugust 16, 2021
NPPES CertifiedAugust 16, 2021
✔ NPI 1972873784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in AK · 1249
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
815 2ND AVE STE 122, Fairbanks, AK 99701

Secondary Practice Locations 2

Location 1130 Trading Bay Rd Ste 340Kenai, AK 99611-9116 · Phone (907) 374-0852 · Fax (907) 374-0854
Location 2407 5th AveFairbanks, AK 99701-4715 · Phone (907) 750-8114 · Fax (907) 459-8201

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nurses Diversified Systems, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateAlaskaEnrollment IDO20120321000698Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Nurses Diversified Systems, Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1043524218
815 2ND AVE STE 122
Fairbanks, AK 99701
(907) 374-0852
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831826015
815 2ND AVE STE 122
Fairbanks, AK 99701
(907) 374-0852
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1790468155
815 2ND AVE
Fairbanks, AK 99701
(907) 374-0852
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255609459
3211 PROVIDENCE DR
Anchorage, AK 99508
(907) 786-4040
✔ PECOS✔ Accepts Medicare261 mi
Nurse Practitioner
NPI 1114414984
800 E DIMOND BLVD STE 3-520
Anchorage, AK 99515
(907) 374-0852
✔ PECOS✔ Accepts Medicare265 mi
Nurse Practitioner
NPI 1881239259
130 TRADING BAY RD STE 340
Kenai, AK 99611
(907) 374-0852
✔ PECOS✔ Accepts Medicare317 mi
Nurse Practitioner
NPI 1255037404
230 E MARYDALE AVE
Soldotna, AK 99669
(907) 262-3119
✔ PECOS✔ Accepts Medicare319 mi
Clinical Social Worker
NPI 1053863266
230 E MARYDALE AVE
Soldotna, AK 99669
(907) 262-3119
✔ PECOS319 mi

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

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 Nurses Diversified Systems, Inc's NPI number?

The NPI number for Nurses Diversified Systems, Inc is 1972873784. It was assigned to this organization in the NPPES registry on January 10, 2012.

Where is Nurses Diversified Systems, Inc located?

Nurses Diversified Systems, Inc is located at 815 2nd Ave Ste 122, Fairbanks, AK 99701. The listed phone number is (907) 374-0852.

What is Nurses Diversified Systems, Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Nurses Diversified Systems, Inc enrolled in Medicare?

Yes. Nurses Diversified Systems, Inc is registered in the Medicare PECOS enrollment system.

When is Nurses Diversified Systems, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alaska, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Nurses Diversified Systems, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Nurses Diversified Systems, Inc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (7) and Clinical Social Worker (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Nurses Diversified Systems, Inc accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Nurses Diversified Systems, Inc 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 Nurses Diversified Systems, Inc was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.