| Nancy Lee Schupp, ANP | |
| 1640 Cowles St, Suite 1, Fairbanks, AK 99701-5925 | |
| (907) 452-4768 | |
| (907) 452-1009 | 
| Full Name | Nancy Lee Schupp | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 1640 Cowles St, Fairbanks, Alaska | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669587036 | NPI | - | NPPES | 
| NP7619 | Medicaid | AK | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 7 (Alaska) | Primary | 
| Entity Name | Polar Wind Medical Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013933209 PECOS PAC ID: 8820082746 Enrollment ID: O20040413001417 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nancy Lee Schupp, ANP 1867 Airport Way, Ste 140a, Fairbanks, AK 99701-4055 Ph: (907) 457-9355 | Nancy Lee Schupp, ANP 1640 Cowles St, Suite 1, Fairbanks, AK 99701-5925 Ph: (907) 452-4768 | 
| Mrs. Kelly Kay Binkowski, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1626 30th Ave, Fairbanks, AK 99701 Phone: 907-479-7701 | |
| Janice L Stables, MSN, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1867 Airport Way, Ste 110b, Fairbanks, AK 99701 Phone: 907-452-6330 Fax: 907-452-6335 | |
| Anne Marie Lilley, RN, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1275 Sadler Way, #101, Fairbanks, AK 99701 Phone: 907-361-6370 Fax: 907-361-6372 | |
| Susana Donofry, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 565 University Ave Ste 1, Fairbanks, AK 99709 Phone: 215-704-1238 | |
| Mr. Wendell Reginald Taylor Jr.,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Noble St, Fairbanks, AK 99701 Phone: 907-458-2682 Fax: 907-458-2628 | |
| Alyce Lynne Weckwerth, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3100 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-6251 Fax: 907-451-6251 | |
| Mrs. Shannon Kay Rhoton, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1919 Lathrop St, Suite 217, Fairbanks, AK 99701 Phone: 907-456-8191 Fax: 907-456-8192 |