DR. LARA DIANE CHURCH MD
NPI 1043280449
Family Medicine in Wasilla, AK
About Dr. Lara Diane Church Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LARA DIANE CHURCH MD (NPI 1043280449) is an individual family medicine provider in Wasilla, Alaska, licensed in Alaska (204658) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ponte Vedra, and is a graduate of University Of South Florida College Of Medicine (2002).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Lara Diane Church Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Lara Church reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wasilla, AK 99654
- Reassigned Medicare billing, Texas enrollment
- 459 clinicians in this Medicare group
Anchorage, AK 99508
- Reassigned Medicare billing, Texas enrollment
- 1,373 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Lara Church's NPI number?
The NPI number for Lara Church is 1043280449. It was assigned to this individual provider in the NPPES registry on January 26, 2006.
Where is Lara Church located?
Lara Church practices at 1001 S Knik Goose Bay Rd, Wasilla, AK 99654. The listed phone number is (907) 631-7800.
What is Lara Church's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lara Church enrolled in Medicare?
Yes. Lara Church 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.
Which organizations bill Medicare for Lara Church's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lara Church reassigns Medicare benefits to 2 organizations: Southcentral Foundation (Wasilla, AK) and Alaska Native Tribal Health Consortium (Anchorage, 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 Lara Church's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lara Church accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Lara Church 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 Lara Church was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Lara Diane Church, MD · NPI 1043280449
Family Medicine physician in Wasilla, Alaska. Individual provider, active in the CMS NPPES registry since January 26, 2006.
## Identity
- **NPI:** 1043280449 (Entity type: Individual)
- **Enumerated:** January 26, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 204658 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 S KNIK GOOSE BAY RD, Wasilla, AK 99654-8083
- **Phone:** (907) 631-7800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southcentral Foundation (NPI 1003469719, Wasilla, AK); Alaska Native Tribal Health Consortium (NPI 1437189339, Anchorage, AK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Florida College Of Medicine, class of 2002
## Record status
- **NPPES last updated:** August 31, 2026
- **Other identifiers:** Other P01431326 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1043280449) · Data from the CMS NPPES public registry.