Eagle River Pain & Wellness – Pain Medicine Physician, NPI 1255465720

Eagle River Pain & Wellness is a healthcare provider. based in Eagle river, Alaska. specializing in Pain Medicine Physician. The organization holds a License No. 4245, 677, 20608 (AK). The NPI Number for Eagle River Pain & Wellness is 1255465720

Main info

Organization
Name
Eagle River Pain & Wellness
NPI
1255465720
Phone
(907) 622-4673
Address
11823 OLD GLENN HWY
Authorized Official
JESSICA J SPAYD REGISTERED AGENT ANP
Enumeration Date
15 March 2007
Last Update Date
20 April 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Eagle River Pain & Wellness

  • 11823 OLD GLENN HWY

    SUITE 110

    EAGLE RIVER, AK 995777734

    Phone: (907) 622-4673

    Fax: (907) 622-4674

    Mailing address matches the actual address.

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.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 99577)

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Frequently asked questions

Is Eagle River Pain & Wellness listed with a National Provider Identifier?
Yes — Eagle River Pain & Wellness has NPI 1255465720 on file in the registry.
Is there an active status for Eagle River Pain & Wellness?
For scheduling context, Eagle River Pain & Wellness is shown as active in the registry.
What expertise is attributed to Eagle River Pain & Wellness?
Eagle River Pain & Wellness's specialty line reads Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Eagle River Pain & Wellness?
Travel planning: use Eagle River, Alaska as the reference point for Eagle River Pain & Wellness, then confirm.
Does Eagle River Pain & Wellness accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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