JOAN M DIGEORGE (RN, FNP-BC) – Family Nurse Practitioner, NPI 1255102513

JOAN M DIGEORGE (RN, FNP-BC) is a healthcare provider. based in North pole, Alaska. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, FNP-BC. They hold a License No. 163313 (AK). The NPI Number for JOAN M DIGEORGE (RN, FNP-BC) is 1255102513

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
JOAN M DIGEORGE (RN, FNP-BC)
NPI
1255102513
Phone
(817) 513-5787
Address
2070 MAVENCAMP CIR
Enumeration Date
15 January 2024
Last Update Date
22 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9072682737
Graduation Year
2023 (3 years ago)
PAC ID
4688011224
Group Practice PAC ID
4688161151
Professional Enrollment ID
I20240319001937
Address ID
AK997093933FA2555XRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

761 NURSE PRACTITIONER in AK

Provider Addresses for JOAN M DIGEORGE (RN, FNP-BC)

  • 2070 MAVENCAMP CIR

    NORTH POLE, AK 997056574

    Phone: (817) 513-5787

    Type: Mailing

  • 751 OLD RICHARDSON HWY STE 101

    FAIRBANKS, AK 997017802

    Phone: (907) 328-0844

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $1,203.

Total Amount is formed as General ($1,203) + Research ($0) + Ownership ($0) = $1,203.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($215).

Total Amount

$1,203

General + Research + Ownership

Payments

40

Total payment records

General Amount

$1,203

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240319001937INurse PractitionerAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99705)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688161151View full group profile
NameSpecialtyState
E N D O C R I N O L O G YIL

Reviews

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Frequently asked questions

Where can patients find JOAN M DIGEORGE (RN, FNP-BC)'s NPI?
You can confirm JOAN M DIGEORGE (RN, FNP-BC) with NPI 1255102513; it appears in the national provider directory.
Is JOAN M DIGEORGE (RN, FNP-BC)'s NPI currently valid?
The extract we use shows JOAN M DIGEORGE (RN, FNP-BC) as active.
Can you summarize JOAN M DIGEORGE (RN, FNP-BC)'s specialty in plain language?
Clinically, the directory lists JOAN M DIGEORGE (RN, FNP-BC) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for JOAN M DIGEORGE (RN, FNP-BC)?
We surface North Pole, Alaska for JOAN M DIGEORGE (RN, FNP-BC) based on available NPPES addresses.
Is JOAN M DIGEORGE (RN, FNP-BC) a real provider?
This page reflects official NPPES data for NPI 1255102513. Always confirm identity and privileges with the practice and licensing boards.

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