MARY ECKART – Physician Assistant, NPI 1104253939

MARY ECKART is a healthcare provider. based in Wasilla, Alaska. specializing in PHYSICIAN ASSISTANT. They hold a License No. 2287 (AK). The NPI Number for MARY ECKART is 1104253939

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MARY ECKART
NPI
1104253939
Phone
(907) 376-2411
Address
1363W SPRUCE AVE
Enumeration Date
11 October 2013
Last Update Date
15 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
1052539533
Group Practice PAC ID
2264758903
Professional Enrollment ID
I20140825001884
Address ID
AK996459648PA12113WAYX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

551 PHYSICIAN ASSISTANT in AK

Provider Addresses for MARY ECKART

  • 1363W SPRUCE AVE

    WASILLA, AK 996545327

    Phone: (907) 376-2411

    Fax: (907) 352-3363

    Type: Mailing

  • 561 S DENALI ST

    SUITE E

    PALMER, AK 996456439

    Phone: (907) 745-7944

    Fax: (907) 745-7918

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $539.

Total Amount is formed as General ($539) + Research ($0) + Ownership ($0) = $539.

Last reported payment date: 2024-06-27 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($219).

Total Amount

$539

General + Research + Ownership

Payments

9

Total payment records

General Amount

$539

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-27

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: 2014-08-25

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
I20140825001884IPhysician AssistantAKTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3926$0
94010Test to measure expiratory airflow and volume2014$0
99213Established patient office or other outpatient visit, 20-29 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 99654)

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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: 2264758903View full group profile
NameSpecialtyState
A L L E R G Y/ I M M U N O L O G YAK
Physician AssistantAK

Reviews

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Frequently asked questions

Can I verify MARY ECKART with an NPI only?
You can start verification with NPI 1104253939 for MARY ECKART, then check state licensing separately.
Is MARY ECKART listed as active for patients and plans?
The listing shows MARY ECKART as active in the NPI system.
What is MARY ECKART's primary classification?
Physician Assistant is the headline specialty for MARY ECKART here. Clinical services aligned with this taxonomy classification.
Does MARY ECKART list a practice location?
Patients near Wasilla, Alaska may find MARY ECKART in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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