Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WILD IRIS LLC
NPI 1003244211
Family Medicine in Wasilla, AK

Active since October 25, 2013CLIA 02D2087545 · Waiver
851 E WESTPOINT DR STE 207, WASILLA, AK 99654(907) 373-9453 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wild Iris Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILD IRIS LLC (NPI 1003244211), doing business as Wild Iris Family Medicine And Maternity Care, is a healthcare organization registered as a family medicine in Wasilla, Alaska and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through November 25, 2026 and lists Lisa Harrison, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1003244211
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWILD IRIS LLC
Location Address851 E WESTPOINT DR STE 207Wasilla, AK 99654-7183
Mailing Address851 E Westpoint Dr Ste 207Wasilla, AK 99654-7183 · (907) 373-9453
Organization SubpartNo
Authorized OfficialLisa HarrisonOwner/physician · (907) 373-9453
Enumeration DateOctober 25, 2013
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
NPI 1003244211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AK · 5448
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
851 E WESTPOINT DR STE 207, Wasilla, AK 99654

Other Names 1

Doing Business AsWild Iris Family Medicine And Maternity Care

Other Identifiers 1

Medicaid1012605AK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 02D2087545

Wild Iris Family Medicine & Maternity Care · Wasilla, AK
Active · expires Nov 25, 2026
CLIA Number02D2087545
Laboratory TypePhysician Office
Certificate Effective DateNovember 26, 2024
Certificate Expiration DateNovember 25, 2026
Laboratory DirectorTara Quinton
Laboratory Phone(907) 373-9453
Laboratory LocationWild Iris Family Medicine & Maternity Care851 E Westpoint Dr Suite 207, Wasilla, AK 99654
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wild Iris LLC's NPI number?

The NPI number for Wild Iris LLC is 1003244211. It was assigned to this organization in the NPPES registry on October 25, 2013. The provider is doing business as Wild Iris Family Medicine and Maternity Care.

Where is Wild Iris LLC located?

Wild Iris LLC is located at 851 E Westpoint Dr Ste 207, Wasilla, AK 99654. The listed phone number is (907) 373-9453.

What is Wild Iris LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Wild Iris LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2087545) is associated with this NPI, valid through November 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wild Iris LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Wild Iris LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wild Iris LLC was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.