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

Active since September 28, 2024PECOS EnrolledAccepts Medicare Assignment
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: August 09, 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
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

Secondary Practice Location 1

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Clinton Deaver Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

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.

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.

Counselor (Mental Health)
7010 E BOGARD RD
WASILLA, AK 99654
Peer Specialist
7010 E BOGARD RD
WASILLA, AK 99654
Counselor (Addiction (Substance Use Disorder))
7010 E BOGARD RD
WASILLA, AK 99654
Student in an Organized Health Care Education/Training Program
7010 E BOGARD RD
WASILLA, AK 99654
Counselor (Addiction (Substance Use Disorder))
7010 E BOGARD RD
WASILLA, AK 99654
Counselor (Addiction (Substance Use Disorder))
7010 E BOGARD RD
WASILLA, AK 99654
Case Manager/Care Coordinator
7010 E BOGARD RD
WASILLA, AK 99654
Counselor (Addiction (Substance Use Disorder))
7010 E BOGARD RD
WASILLA, AK 99654

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Clinton Deaver accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Clinton Deaver 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 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 21 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.