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Deactivated NPI 1174787618 Deactivated / Inactive NPI Male Practitioner

Ansel Brent Shrader , LPN, AK

Licensed Practical Nurse • Juneau, AK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ansel Shrader has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 14, 2008
NPI Deactivation Date July 03, 2024
Total Practice Duration ~16 Years of Practice (2008 – 2024)

Professional Overview & Biography Verified Profile Summary

Ansel Shrader, LPN, AK was a registered Licensed Practical Nurse practicing in Juneau, AK. Throughout an active medical career spanning 16 years, Ansel Shrader provided care at the practice location at 3245 HOSPITAL DR until profile deactivation on 2024-07-03.

Practice Location & Contact Primary Location

Practice Address

3245 Hospital Dr

Juneau, AK 998017809

Telephone 9074634040
Fax 9074636660
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Juneau, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
15 Specialists

Practicing in Juneau, AK (379 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License AK 6927

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sabrina Vick , DHAT

Dental Therapist

NPI 1003281866
Kelly Erickson , PA-C

Physician Assistant - Medical

NPI 1003914391

Physician Assistant (Certified)

Marilyn Boggs , LPN

Licensed Practical Nurse

NPI 1013190941

Licensed Practical Nurse

Rachael Sturrock

Registered Nurse

NPI 1023348323
Melissa Rose , RN

Registered Nurse

NPI 1033441571

Registered Nurse

Dr. John Block , MD

Student in an Organized Health Care Education/Training Program

NPI 1053677021

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 03, 2024

Record deactivated on July 03, 2024

NPI Profile Active July 14, 2008

NPI status registered as active in NPPES database

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Updated Practice Location July 14, 2008

Registered at 3245 HOSPITAL DR, JUNEAU, AK 998017809 (Tel: 9074634040)

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Updated Business Mailing Address July 14, 2008

Registered at 3245 HOSPITAL DR, JUNEAU, AK 998017809 (Tel: 9074634040)

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Provider Name / Credentials Updated July 14, 2008

Recorded as ANSEL SHRADER, LPN , AK 6927

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2008

Licensed Practical Nurse (License #6927 in AK)

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Initial NPI Registration & Enumeration July 14, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174787618
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2008
Last Update: July 14, 2008
Deactivation Date: July 03, 2024

Mailing Address

3245 Hospital Dr

Juneau, AK 998017809

Phone: 9074634040

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.