PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1013905660
General Acute Care Hospital - Critical Access in Kodiak, AK
About Providence Health & Services Washington NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI 1013905660), doing business as Providence Kodiak Island Medical Center, is a healthcare organization registered as a critical access in Kodiak, Alaska and active in the NPI registry since October 2005. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Providence Health & Services Washington is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
57Medicare enrollment records show 57 clinicians reassign Medicare billing to Providence Health & Services Washington, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 15
Nearest to this location (20)
See all 57Anchorage, AK 99508
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Quality Ratings CMS Care Compare
Quality and patient-experience ratings for Providence Kodiak Island Medical Ctr (CMS certification number 021306), from CMS Care Compare.
Providence Kodiak Island Medical Ctr
Critical Access Hospitals · Kodiak, AKComplications & Deaths 5
Unplanned Hospital Visits 11
Timely & Effective Care 8
Maternal Health 2
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 Providence Health & Services Washington's NPI number?
The NPI number for Providence Health & Services Washington is 1013905660. It was assigned to this organization in the NPPES registry on October 7, 2005. The provider is doing business as Providence Kodiak Island Medical Center.
Where is Providence Health & Services Washington located?
Providence Health & Services Washington is located at 1915 E Rezanof Dr, Kodiak, AK 99615. The listed phone number is (907) 486-3281.
What is Providence Health & Services Washington's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.
Is Providence Health & Services Washington enrolled in Medicare?
Yes. Providence Health & Services Washington is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Providence Health & Services Washington?
According to the CMS Revalidation Reassignment List (October 2026 release), 57 clinicians in 15 Medicare specialties reassign their Medicare billing to Providence Health & Services Washington. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Cardiovascular Disease (Cardiology) (12), Family Practice (12) and Certified Registered Nurse Anesthetist (CRNA) (6). Of these, 5 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Is Providence Health & Services Washington a Medicare-certified hospital?
Yes. Providence Kodiak Island Medical Ctr is a Medicare-certified hospital (Critical Access Hospitals). The hospital provides emergency services.
What insurance does Providence Health & Services Washington accept?
Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Providence Health & Services Washington 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 Providence Health & Services Washington was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Providence Health & Services Washington · NPI 1013905660
Critical Access organization in Kodiak, Alaska. Organization record, active in the CMS NPPES registry since October 7, 2005.
## Identity
- **NPI:** 1013905660 (Entity type: Organization)
- **Enumerated:** October 7, 2005
- **Primary specialty:** General Acute Care Hospital - Critical Access · taxonomy 282NC0060X
- **Also known as:** Providence Kodiak Island Medical Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY OF ENROLLMENTS
## Practice location
- **Address:** 1915 E REZANOF DR, Kodiak, AK 99615-6602
- **Phone:** (907) 486-3281 · **Fax:** (907) 486-9546
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 57 clinicians in 15 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (12), Family Practice (12), Certified Registered Nurse Anesthetist (CRNA) (6); 5 practice at this address and 8 within 10 miles; [full list](https://npiprofile.com/npi/1013905660/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2025
- **Other identifiers:** Medicaid HS10 (AK)
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Source: [NPI Profile](https://npiprofile.com/npi/1013905660) · Data from the CMS NPPES public registry.