Heide Provencher, APRN is a
Nurse Practitioner - Psychiatric/mental Health based in Hope, Alaska. Heide Provencher is licensed to practice in Alaska (license number 1343) and her current practice location is
Po Box 174, Hope, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 227-6610.
NPI number for Heide Provencher is 1801228788 and her current mailing address is 2437 Ingra St, Anchorage, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801228788.
Provider's Profile
| Full Name | Heide Provencher |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
|---|
| Location | Po Box 174, Hope, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1801228788
- Provider Enumeration Date: 08/02/2013
- Last Update Date: 02/18/2026
Medical Identifiers
Medical identifiers for Heide Provencher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801228788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1343 (Alaska) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 1343 (Alaska) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heide Provencher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Heide Provencher, APRN
2437 Ingra St,
Anchorage, AK 99508-3945
Ph: (907) 227-6610 | Heide Provencher, APRN
Po Box 174,
Hope, AK 99605-0174
Ph: (907) 227-6610 |
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