ROBIN L. NINEFELDT (M.D.) – Family Medicine Physician, NPI 1659691590

ROBIN L. NINEFELDT (M.D.) is a healthcare provider. based in Chugiak, Alaska. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 102498 (AK). The NPI Number for ROBIN L. NINEFELDT (M.D.) is 1659691590

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
ROBIN L. NINEFELDT (M.D.)
NPI
1659691590
Phone
(907) 201-1102
Address
PO BOX 671336
Enumeration Date
2 June 2010
Last Update Date
30 March 2020

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
9078263257
Graduation Year
2010 (16 years ago)
PAC ID
2163656299
Group Practice PAC ID
9436067618
Professional Enrollment ID
I20150811004158
Address ID
AK999210000CR1800XHWYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

495 FAMILY PRACTICE in AK

Provider Addresses for ROBIN L. NINEFELDT (M.D.)

  • PO BOX 671336

    CHUGIAK, AK 995671336

    Phone: (907) 201-1102

    Fax: (907) 202-5120

    Type: Mailing

  • 2015 MERRILL FIELD DR

    ANCHORAGE, AK 995014137

    Phone: (907) 201-1102

    Fax: (907) 202-5120

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-08-11

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
I20150811004158IFamily PracticeAKTBD

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 99567)

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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: 9436067618View full group profile
NameSpecialtyState
Nurse PractitionerAK
Diagnostic RadiologyAK
Diagnostic RadiologyWA
Diagnostic RadiologyWA
A N E S T H E S I O L O G YHI
Diagnostic RadiologyWA
Cardiovascular Disease (Cardiology), Internal MedicineWA
Interventional RadiologyIL
O B S T E T R I C S/ G Y N E C O L O G YAK
Physician AssistantAZ

Reviews

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Frequently asked questions

How do I look up ROBIN L. NINEFELDT (M.D.) by NPI?
Use NPI 1659691590 when you need to reference ROBIN L. NINEFELDT (M.D.) in forms, claims, or directories.
Is ROBIN L. NINEFELDT (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does ROBIN L. NINEFELDT (M.D.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for ROBIN L. NINEFELDT (M.D.). Clinical services aligned with this taxonomy classification.
Does ROBIN L. NINEFELDT (M.D.) practice in Alaska?
You will see Chugiak, Alaska on file for ROBIN L. NINEFELDT (M.D.) alongside any extra practice locations.
What if Chugiak, Alaska seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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