Wasilla Medical Clinic – Urgent Care Clinic/Center, NPI 1316015480

Wasilla Medical Clinic is a healthcare provider. based in Wasilla, Alaska. specializing in Urgent Care Clinic/Center. The NPI Number for Wasilla Medical Clinic is 1316015480

Main info

Organization
Name
Wasilla Medical Clinic
NPI
1316015480
Phone
(907) 373-6055
Address
1700 E PARKS HWY
Authorized Official
CHRISTINE GUAY OFFICE MANAGER
Enumeration Date
30 November 2006
Last Update Date
28 April 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Wasilla Medical Clinic

  • East Parks Highway, Wasilla, Matanuska-Susitna, Alaska, 99654-2803, United States

    #200

    WASILLA, AK 996547352

    Phone: (907) 373-6055

    Fax: (907) 373-6077

    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.

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: 2008-02-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1015 days ago).

Enrollment records

1

Earliest due date

2023-08-31

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
O20080229000068OClinic/Group PracticeAK2023-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 99654)

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Reviews

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Frequently asked questions

What number should I use to identify Wasilla Medical Clinic for billing?
Administrative and clinical systems typically use NPI 1316015480 for Wasilla Medical Clinic.
Should I treat Wasilla Medical Clinic as an active provider?
Patients and plans typically see Wasilla Medical Clinic as active in the national extract.
Which specialty label fits Wasilla Medical Clinic?
NPPES ties Wasilla Medical Clinic to Urgent Care Clinic/Center in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Wasilla Medical Clinic?
The directory associates Wasilla Medical Clinic with Wasilla, Alaska. Check all listed addresses for suites or satellite offices.
Who maintains Wasilla Medical Clinic's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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