DALE ROBERT WALASZEK (P.A.) – Physician Assistant, NPI 1962512293
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
551 PHYSICIAN ASSISTANT in AK
Provider Addresses for DALE ROBERT WALASZEK (P.A.)
265, North Binkley Street, Soldotna, Kenai Peninsula, Alaska, 99669, United States
SOLDOTNA, AK 996697523
Phone: (907) 262-9341
Fax: (907) 262-1545
Type: Mailing
265 N BINKLEY ST STE 202
SOLDOTNA, AK 996697523
Phone: (907) 714-4521
Fax: (907) 260-4063
Type: Location
354 Tyee St
Soldotna, AK 996697657
Phone: (907) 714-5870
Type: Location
47480 Kristina Way
Kenai, AK 996115902
Phone: (907) 714-4521
Type: Location
362 Tyee St
Soldotna, AK 996697631
Phone: (907) 714-4521
Type: Location
245 N BINKLEY ST
SOLDOTNA, AK 996697500
Phone: (907) 714-4521
Type: Location
250 HOSPITAL PL
SOLDOTNA, AK 996696999
Phone: (907) 714-4502
Fax: (907) 714-4696
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $147.
Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.
Last reported payment date: 2024-08-13 • Largest payer in this snapshot: ABBVIE INC. ($100).
Total Amount
$147
General + Research + Ownership
Payments
3
Total payment records
General Amount
$147
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $100 |
| Indivior Inc. | $47 |
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: 2014-11-07
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 |
|---|---|---|---|---|
| I20141107002135 | I | Physician Assistant | AK | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99669)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | AK | 20610 | Aspiration and/or injection of large joint or joint capsule | 20 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CO | |
| Nurse Practitioner | AK | |
| N E U R O L O G Y | WI | |
| Certified Registered Nurse Anesthetist (Crna) | AK | |
| Emergency Medicine | AK | |
| Certified Registered Nurse Anesthetist (Crna) | AK | |
| P A T H O L O G Y | AR | |
| - | UT | |
| Nurse Practitioner | OH | |
| - | CT |
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