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RAVENCREST MEDICAL LLC
NPI 1033958491
Family Medicine in Soldotna, AK

Active since May 23, 2024CLIA 02D2305636 · Waiver
35670 KENAI SPUR HWY STE 102, SOLDOTNA, AK 99669(907) 921-2221 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ravencrest Medical Llc NPPES

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

RAVENCREST MEDICAL LLC (NPI 1033958491) is a healthcare organization registered as a family medicine in Soldotna, Alaska and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through June 3, 2028 and lists Danna Mavis Constance Moisii, Owner/physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1033958491
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRAVENCREST MEDICAL LLC
Location Address35670 KENAI SPUR HWY STE 102Soldotna, AK 99669-7649
Mailing Address35670 Kenai Spur Hwy Ste 102Soldotna, AK 99669-7649 · (907) 921-2221
Phone(907) 921-2221
Organization SubpartNo
Authorized OfficialDanna Mavis Constance MoisiiOwner/physician Assistant · (907) 921-2221
Enumeration DateMay 23, 2024
NPPES CertifiedMarch 27, 2023
✔ NPI 1033958491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
35670 KENAI SPUR HWY STE 102, Soldotna, AK 99669
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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

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 of Waiver 02D2305636

Ravencrest Medical · Soldotna, AK
Active · expires Jun 3, 2028
CLIA Number02D2305636
Laboratory TypePractitioner Other
Certificate Effective DateJune 4, 2026
Certificate Expiration DateJune 3, 2028
Laboratory DirectorDanna Moisii
Laboratory Phone(907) 921-2221
Laboratory LocationRavencrest Medical35670 Kenai Spur Hwy, Ste 102, Soldotna, AK 99669
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DANNA MAVIS CONSTANCE MOISII PA-C
Physician Assistant (Medical)
35670 KENAI SPUR HWY STE 102
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 921-2221
RAVENCREST MEDICAL LLC
Family Medicine
35670 KENAI SPUR HWY STE 102
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 921-2221

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 Ravencrest Medical LLC's NPI number?

The NPI number for Ravencrest Medical LLC is 1033958491. It was assigned to this organization in the NPPES registry on May 23, 2024.

Where is Ravencrest Medical LLC located?

Ravencrest Medical LLC is located at 35670 Kenai Spur Hwy Ste 102, Soldotna, AK 99669. The listed phone number is (907) 921-2221.

What is Ravencrest Medical LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Ravencrest Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2305636) is associated with this NPI, valid through June 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ravencrest Medical LLC was last updated on May 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.