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SET FREE ALASKA, INC.
NPI 1053188508
Preventive Medicine - Addiction Medicine in Wasilla, AK

Active since December 05, 2023CLIA 02D2323234 · Waiver
7010 E BOGARD RD BLDG 2, WASILLA, AK 99654(907) 373-4732(907) 476-4749 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2024, Jul 2, 2024, May 8, 2024 and 1 more (4 updates tracked since 2023).

About Set Free Alaska, Inc. NPPES

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

SET FREE ALASKA, INC. (NPI 1053188508) is a healthcare organization registered as an addiction medicine in Wasilla, Alaska and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through May 3, 2027 and lists Megan Lindley, Compliance Director, as its authorized official.

NPPES Registry Identity

NPI1053188508
Entity TypeOrganization
Primary Taxonomy2083A0300X
Legal Business NameSET FREE ALASKA, INC.
Location Address7010 E BOGARD RD BLDG 2Wasilla, AK 99654-4711
Mailing AddressPo Box 876741Wasilla, AK 99687-6741 · (907) 373-4732 · Fax (907) 746-4749
Phone(907) 373-4732
Fax(907) 476-4749
Organization SubpartYes
Authorized OfficialMegan LindleyCompliance Director · (907) 206-6055
Enumeration DateDecember 5, 2023
Last NPPES UpdateAugust 20, 20244 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1053188508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Also ListedAnesthesiology · Addiction MedicineTaxonomy 207LA0401X
7010 E BOGARD RD BLDG 2, Wasilla, AK 99654
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Other Identifiers 1

Medicaid1748088AK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Set Free Alaska, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Set Free Alaska, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Clinton Deaver, FNP-BC
Nurse Practitioner
NPI 1033937115
7010 E BOGARD RD
Wasilla, AK 99654
(907) 373-4732
✔ PECOSSame address
Amanda Zeppa, LCSW
Clinical Social Worker
NPI 1750679924
7010 E BOGARD RD
Wasilla, AK 99654
(907) 373-4732
✔ PECOSSame address

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

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 02D2323234

Set Free Alaska, Inc · Wasilla, AK
Active · expires May 3, 2027
CLIA Number02D2323234
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2025
Certificate Expiration DateMay 3, 2027
Laboratory DirectorSally Beach
Laboratory Phone(907) 373-4732
Laboratory LocationSet Free Alaska, Inc7010 E Bogard Rd, Bldg 2, Wasilla, AK 99654
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Set Free Alaska, Inc.'s NPI number?

The NPI number for Set Free Alaska, Inc. is 1053188508. It was assigned to this organization in the NPPES registry on December 5, 2023.

Where is Set Free Alaska, Inc. located?

Set Free Alaska, Inc. is located at 7010 E Bogard Rd Bldg 2, Wasilla, AK 99654. The listed phone number is (907) 373-4732.

What is Set Free Alaska, Inc.'s specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Is Set Free Alaska, Inc. enrolled in Medicare?

Yes. Set Free Alaska, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Set Free Alaska, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Set Free Alaska, Inc., in Clinical Social Worker and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Set Free Alaska, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2323234) is associated with this NPI, valid through May 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Set Free Alaska, Inc. was last updated on August 20, 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.