IndividualActive
Genie Provo
NPI 1689462640 · Peer Specialist · Palmer, AK
Genie Provo is a Peer Specialist provider in Palmer, AK (NPI 1689462640).
Provider details
- NPI number
- 1689462640
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11921 E Palmer Wasilla Hwy
Palmer, AK 99645-8833
Phone: (907) 745-2634
Street-level locationGet directions
Mailing address
Po Box 1907
Palmer, AK 99645-1907
Registry dates
- Enumerated
- 2025-04-29
- Last updated
- 2025-04-29
- Certified
- 2025-04-29
Frequently asked questions
- What is Genie Provo's NPI number?
- Genie Provo's National Provider Identifier (NPI) is 1689462640, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Genie Provo's specialty?
- Genie Provo is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Genie Provo located?
- Genie Provo's practice location on file with NPPES is 11921 E Palmer Wasilla Hwy, Palmer, AK 99645-8833.
- What is Genie Provo's phone number?
- The practice phone number listed in the NPPES registry for Genie Provo is (907) 745-2634.
- Is Genie Provo's NPI active?
- Yes — Genie Provo's NPI (1689462640) is active in the NPPES registry as of the last update on 2025-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.