HEART OF EAGLE RIVER MEDICAL CLINIC
NPI 1033277041
Family Medicine in Eagle River, AK
About Heart Of Eagle River Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEART OF EAGLE RIVER MEDICAL CLINIC (NPI 1033277041) is a healthcare organization registered as a family medicine in Eagle River, Alaska and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through November 12, 2026 and lists Nancy J Holder, Billing Agent, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Heart Of Eagle River Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Heart Of Eagle River Medical Clinic, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 for Provider-Performed Microscopy Procedures (PPMP) 02D0953917
Heart Of Eagle River Medical Clinic · Eagle River, AKFrequently 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 Heart Of Eagle River Medical Clinic's NPI number?
The NPI number for Heart Of Eagle River Medical Clinic is 1033277041. It was assigned to this organization in the NPPES registry on December 4, 2006.
Where is Heart Of Eagle River Medical Clinic located?
Heart Of Eagle River Medical Clinic is located at 11432 Business Blvd Suite 4, Eagle River, AK 99577. The listed phone number is (907) 694-1300.
What is Heart Of Eagle River Medical Clinic's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Heart Of Eagle River Medical Clinic enrolled in Medicare?
Yes. Heart Of Eagle River Medical Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Heart Of Eagle River Medical Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 4 Medicare specialties reassign their Medicare billing to Heart Of Eagle River Medical Clinic. 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 Nurse Practitioner (3), Emergency Medicine (1) and Family Practice (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Heart Of Eagle River Medical Clinic hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 02D0953917) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Heart Of Eagle River Medical Clinic accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Heart Of Eagle River Medical Clinic 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 Heart Of Eagle River Medical Clinic was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Heart Of Eagle River Medical Clinic · NPI 1033277041
Family Medicine organization in Eagle River, Alaska. Organization record, active in the CMS NPPES registry since December 4, 2006.
## Identity
- **NPI:** 1033277041 (Entity type: Organization)
- **Enumerated:** December 4, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Nancy Holder, BILLING AGENT
## Practice location
- **Address:** 11432 BUSINESS BLVD, SUITE 4, Eagle River, AK 99577-7720
- **Phone:** (907) 694-1300 · **Fax:** (907) 694-1315
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Emergency Medicine (1), Family Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 21, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033277041) · Data from the CMS NPPES public registry.