Provider Demographics
NPI:1083637136
Name:SCHEER, KASIE S (ANP)
Entity Type:Individual
Prefix:
First Name:KASIE
Middle Name:S
Last Name:SCHEER
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50618 BUOY AVE
Mailing Address - Street 2:
Mailing Address - City:KENAI
Mailing Address - State:AK
Mailing Address - Zip Code:99611-6409
Mailing Address - Country:US
Mailing Address - Phone:907-252-7154
Mailing Address - Fax:
Practice Address - Street 1:110 N WILLOW ST STE 130
Practice Address - Street 2:
Practice Address - City:KENAI
Practice Address - State:AK
Practice Address - Zip Code:99611-7797
Practice Address - Country:US
Practice Address - Phone:907-770-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK895363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKK164678OtherMEDICARE PTAN
AKRH177FQMedicaid
AKK162666Medicare UPIN
AKRH177FQMedicaid