MS. MARILYN ELAINE ATTLA (PHYSICIAN ASSISTANT) – Medical Physician Assistant, NPI 1679563829
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
551 PHYSICIAN ASSISTANT in AK
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Provider Addresses for MS. MARILYN ELAINE ATTLA (PHYSICIAN ASSISTANT)
2003, Carr Avenue, Aurora, Fairbanks, Fairbanks North Star Borough, Alaska, 99709, United States
FAIRBANKS, AK 997094212
Phone: (907) 451-6682
Fax: (907) 459-3817
Type: Mailing
1717 W. COWLES ST.
FAIRBANKS, AK 99701
Phone: (907) 451-6682
Fax: (907) 574-3922
Type: Mailing
1717, West Cowles Street, South Fairbanks, Fairbanks, Fairbanks North Star, Alaska, 99701, United States
C.A.I.H.C.
FAIRBANKS, AK 997015926
Phone: (907) 451-6682
Fax: (907) 459-3817
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: 2009-03-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090325000340 | I | Physician Assistant | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 92 | 48 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 76 | 51 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 75 | 47 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 60 | 39 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 56 | 39 | $0 |
Insurance plans in this area (ZIP 99709)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| - | TX | |
| Physician Assistant | TX | |
| - | AK | |
| - | ME | |
| Physician Assistant | AK | |
| - | NY | |
| - | AK | |
| - | AK | |
| Physician Assistant | NY |
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