1. Home
  2. Directory
  3. Alaska
  4. Wasilla
  5. Nurse Practitioner
  6. NPI Profile

MR. CLINTON DEAVER FNP-BC
NPI 1033937115
Nurse Practitioner - Family in Wasilla, AK

Active since September 28, 2024PECOS Enrolled
7010 E BOGARD RD, WASILLA, AK 99654(907) 373-4732 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Clinton Deaver Fnp-bc NPPES

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

MR. CLINTON DEAVER FNP-BC (NPI 1033937115) is an individual family provider in Wasilla, Alaska, licensed in Alaska (229469) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Wasilla, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1033937115
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. CLINTON DEAVERCredential: FNP-BC
Location Address7010 E BOGARD RDWasilla, AK 99654-4711
Mailing AddressPo Box 876741Wasilla, AK 99687-6741 · (907) 373-4732
Phone(907) 373-4732
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 28, 2024
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1033937115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AK · 229469
7010 E BOGARD RD, Wasilla, AK 99654
Open in Google Maps ↗

Secondary Practice Location 1

Location 15822 W Tidewater DrWasilla, AK 99623-0227 · Phone (907) 203-0072

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Clinton Deaver Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476072463
PECOS Enrollment IDI20250522001668
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Clinton Deaver reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Set Free Alaska, Inc.
Same address
Addiction Medicine
7010 E BOGARD RD BLDG 2
Wasilla, AK 99654
  • Reassigned Medicare billing, Alaska enrollment
  • 2 clinicians in this Medicare group
NPI 1053188508 (907) 373-4732
Atlas Medical Alaska LLC
3.9 mi
Internal Medicine
3831 E BLUE LUPINE DR STE C
Wasilla, AK 99654
  • Reassigned Medicare billing, Alaska enrollment
  • 8 clinicians in this Medicare group
NPI 1376213207 (907) 215-4846

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99654 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH TUCKER KNECHT MS, CD
Counselor (Mental Health)
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-4732
CHAD RISINGER
Peer Specialist
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-4732
MRS. JESSICA LYNN REISS
Counselor (Addiction (Substance Use Disorder))
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-4732
KAYSE JENSEN
Student in an Organized Health Care Education/Training Program
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 746-4748
ASHLEIGH WENDT
Counselor (Addiction (Substance Use Disorder))
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 746-4748
JANNA CARLSON
Counselor (Addiction (Substance Use Disorder))
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 746-4748
BONNIE BROOKS
Case Manager/Care Coordinator
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-4732
DANIELLE PENDERGRASS
Counselor (Addiction (Substance Use Disorder))
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-4732

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 Clinton Deaver's NPI number?

The NPI number for Clinton Deaver is 1033937115. It was assigned to this individual provider in the NPPES registry on September 28, 2024.

Where is Clinton Deaver located?

Clinton Deaver practices at 7010 E Bogard Rd, Wasilla, AK 99654. The listed phone number is (907) 373-4732.

What is Clinton Deaver's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Clinton Deaver enrolled in Medicare?

Yes. Clinton Deaver is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Clinton Deaver's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clinton Deaver reassigns Medicare benefits to 2 organizations: Set Free Alaska, Inc. (Wasilla, AK) and Atlas Medical Alaska LLC (Wasilla, AK). Each 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 Clinton Deaver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Clinton Deaver was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.