Mat-Su Urgent Care – Urgent Care Clinic/Center, NPI 1861935975
Urgent Care Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Mat-Su Urgent Care
5851 South Knik-Goose Bay Road
Wasilla, AK 99623
Phone: (907) 864-1300
Fax: (907) 864-1305
Type: Location
209 W EVERGREEN AVE STE B
PALMER, AK 996456952
Phone: (907) 861-1400
Fax: (907) 861-1405
Type: Location
South Knik-Goose Bay Road, Wasilla, Matanuska-Susitna, Alaska, 99654, United States
WASILLA, AK 99623
Phone: (907) 864-1300
Fax: (907) 864-1305
Type: Location
Dukes Liquor Box, 114, Franklin Street, Greenpoint, Brooklyn, Kings County, New York, 11222, United States
FRANKLIN, TN 370689022
Phone: (615) 465-7000
Type: Mailing
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.
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 |
|---|---|---|---|---|
| O20101130001385 | O | Clinic/Group Practice | 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 99623)
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