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PTARMIGAN PEDIATRICS LLC
NPI 1053574293
Pediatrics in Wasilla, AK

Active since July 08, 2008CLIA 02D1086838 · Waiver
3543 E MERIDIAN PARK LOOP STE A, WASILLA, AK 99654(907) 357-4543(907) 357-4533 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ptarmigan Pediatrics Llc NPPES

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

PTARMIGAN PEDIATRICS LLC (NPI 1053574293) is a healthcare organization registered as a pediatrics in Wasilla, Alaska and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through July 20, 2028 and lists Laura J Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1053574293
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePTARMIGAN PEDIATRICS LLC
Location Address3543 E MERIDIAN PARK LOOP STE AWasilla, AK 99654-7233
Mailing Address3543 E Meridian Park Loop Ste AWasilla, AK 99654-7233 · (907) 357-4543 · Fax (907) 357-4533
Phone(907) 357-4543
Fax(907) 357-4533
Organization SubpartNo
Authorized OfficialLaura J PetersonOwner · (907) 357-4543
Enumeration DateJuly 8, 2008
Last NPPES UpdateFebruary 12, 2025
NPPES CertifiedFebruary 12, 2025
✔ NPI 1053574293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3543 E MERIDIAN PARK LOOP STE A, Wasilla, AK 99654
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

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 02D1086838

Ptarmigan Pediatrics LLC · Wasilla, AK
Active · expires Jul 20, 2028
CLIA Number02D1086838
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2026
Certificate Expiration DateJuly 20, 2028
Laboratory DirectorLaura J. Peterson, MD
Laboratory Phone(907) 357-4543
Laboratory LocationPtarmigan Pediatrics LLC3543 E Meridian Park LP, Suite A, Wasilla, AK 99654
CLIA data matches this NPI record on: 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.

DR. BRUCE WAYNE HESS D.O.
Pediatrics
3543 E MERIDIAN PARK LOOP STE A
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 357-4543
SAMANTHA WILLIAMS
Nurse Practitioner (Family)
3543 E MERIDIAN PARK LOOP STE A
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 357-4543

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 Ptarmigan Pediatrics LLC's NPI number?

The NPI number for Ptarmigan Pediatrics LLC is 1053574293. It was assigned to this organization in the NPPES registry on July 8, 2008.

Where is Ptarmigan Pediatrics LLC located?

Ptarmigan Pediatrics LLC is located at 3543 E Meridian Park Loop Ste A, Wasilla, AK 99654. The listed phone number is (907) 357-4543.

What is Ptarmigan Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Ptarmigan Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D1086838) is associated with this NPI, valid through July 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ptarmigan Pediatrics LLC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Ptarmigan Pediatrics LLC 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 Ptarmigan Pediatrics LLC was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.