MEDICAL NETWORK OF ALASKA, LLC
NPI 1033883285
Dermatology in Wasilla, AK

Active since August 02, 2021
3122 E MERIDIAN PARK LOOP, WASILLA, AK 99654(907) 357-9590(907) 357-9593 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Medical Network Of Alaska, Llc NPPES

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

MEDICAL NETWORK OF ALASKA, LLC (NPI 1033883285), doing business as Capstone Dermatology, is a healthcare organization registered as a dermatology in Wasilla, Alaska and active in the NPI registry since August 2021. The organization lists Jacquelyn Renee Blomker, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1033883285
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMEDICAL NETWORK OF ALASKA, LLC
Location Address3122 E MERIDIAN PARK LOOPWasilla, AK 99654-7255
Mailing Address3122 E Meridian Park LoopWasilla, AK 99654-7255 · (907) 357-9590 · Fax (907) 357-9593
Fax(907) 357-9593
Organization SubpartYes
Authorized OfficialJacquelyn Renee BlomkerDirector Of Revenue Cycle · (907) 357-9590
Enumeration DateAugust 2, 2021
NPPES CertifiedAugust 2, 2021
✔ NPI 1033883285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3122 E MERIDIAN PARK LOOP, Wasilla, AK 99654

Other Names 1

Doing Business AsCapstone Dermatology

Other Identifiers 1

Other2137140AK · State Of Alaska Business License

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medical Network Of Alaska, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

67

Medicare enrollment records show 67 clinicians reassign Medicare billing to Medical Network Of Alaska, LLC, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Family Practice16
Orthopedic Surgery11
Physical Therapist in Private Practice9
Nurse Practitioner6
Obstetrics/Gynecology4
Otolaryngology4
Certified Nurse Midwife (CNM)3
Dermatology3
7 other specialties11

Nearest to this location (20)

See all 67
Obstetrics/Gynecology
NPI 1427408947
3122 E MERIDIAN PARK LOOP STE 2
Wasilla, AK 99654
(907) 357-3133
✔ PECOSSame address
Nurse Practitioner
NPI 1659146074
3122 E MERIDIAN PARK LOOP
Wasilla, AK 99654
(907) 357-1113
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1285130617
3122 E MERIDIAN PARK LOOP STE 3
Wasilla, AK 99654
(907) 357-1113
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1528353877
3122 E MERIDIAN PARK LOOP
Wasilla, AK 99654
(907) 357-9590
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1538395397
3122 E MERIDIAN PARK LOOP
Wasilla, AK 99654
(907) 357-9590
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1083149777
3066 E MERIDIAN PARK LOOP
Wasilla, AK 99654
(907) 357-2332
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1265705933
3066 E MERIDIAN PARK LOOP
Wasilla, AK 99654
(907) 357-9590
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1275731515
3066 E MERIDIAN PARK LOOP STE 1
Wasilla, AK 99654
(907) 357-2332
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1154708980
3066 E MERIDIAN PARK LOOP STE 2
Wasilla, AK 99654
(907) 357-2332
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1245278183
3066 E MERIDIAN PARK LOOP
Wasilla, AK 99654
(907) 357-9593
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1386740785
3066 E MERIDIAN PARK LOOP
Wasilla, AK 99654
(907) 357-9590
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1790964195
3066 E MERIDIAN PARK LOOP
Wasilla, AK 99654
(907) 357-9590
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1780654137
3066 E MERIDIAN PARK LOOP
Wasilla, AK 99654
(907) 357-9590
✔ PECOS✔ Accepts Medicare0.1 mi
Otolaryngology
NPI 1104110246
3719 E MERIDIAN LOOP STE E
Wasilla, AK 99654
(907) 600-0030
✔ PECOS✔ Accepts Medicare0.3 mi
Certified Nurse Midwife (CNM)
NPI 1053492587
3223 PALMER WASILLA HWY SUITE #1
Wasilla, AK 99654
(907) 357-4963
✔ PECOS✔ Accepts Medicare0.5 mi
Certified Nurse Midwife (CNM)
NPI 1740358167
5000 E SHENNUM DR
Wasilla, AK 99654
(907) 373-3420
✔ PECOS✔ Accepts Medicare1.4 mi
Nurse Practitioner
NPI 1700262763
1861 E PARKS HWY
Wasilla, AK 99654
(888) 227-3312
✔ PECOS✔ Accepts Medicare1.7 mi
Family Practice
NPI 1750441820
1001 E BOGARD RD
Wasilla, AK 99654
(907) 373-2225
✔ PECOS✔ Accepts Medicare2.1 mi
Family Practice
NPI 1699780114
950 E BOGARD RD STE 233
Wasilla, AK 99654
(907) 352-1300
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1942047196
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
✔ PECOS✔ Accepts Medicare2.9 mi
See all 67 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Medical Network Of Alaska, LLC's NPI number?

The NPI number for Medical Network Of Alaska, LLC is 1033883285. It was assigned to this organization in the NPPES registry on August 2, 2021. The provider is doing business as Capstone Dermatology.

Where is Medical Network Of Alaska, LLC located?

Medical Network Of Alaska, LLC is located at 3122 E Meridian Park Loop, Wasilla, AK 99654. The listed phone number is (907) 357-9590.

What is Medical Network Of Alaska, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Medical Network Of Alaska, LLC enrolled in Medicare?

Yes. Medical Network Of Alaska, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical Network Of Alaska, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 67 clinicians in 15 Medicare specialties reassign their Medicare billing to Medical Network Of Alaska, LLC. 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 Family Practice (16), Orthopedic Surgery (11) and Physical Therapist in Private Practice (9). Of these, 9 practice at this address and 26 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Medical Network Of Alaska, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Medical Network Of Alaska, 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 Medical Network Of Alaska, LLC was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.