MARIN GRANHOLM MD
NPI 1063633055
Family Medicine in Anchorage, AK

Q: What is Marin Granholm's NPI number?

The NPI number for Marin Granholm is 1063633055. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Q: What is Marin Granholm's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marin Granholm was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 01, 2007PECOS EnrolledAccepts Medicare Assignment

1201 E 36TH AVE, ANCHORAGE, AK 99508(907) 562-9229(907) 562-1603 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Feb 16, 2018 (2 updates tracked since 2018).

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About Marin Granholm Md NPPES

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

MARIN GRANHOLM MD (NPI 1063633055) is an individual family medicine provider in Anchorage, Alaska, licensed in Alaska (5017) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Saint Louis University School Of Medicine (2000).

NPPES Registry Identity

NPI1063633055

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARIN GRANHOLMCredential: MD

Location Address1201 E 36TH AVEAnchorage, AK 99508-4372

Mailing AddressPo Box 4105Portland, OR 97208-4105 · (866) 907-1068 · Fax (425) 917-9141

Phone(907) 562-9229

Fax(907) 562-1603

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2000

Enumeration DateMay 1, 2007

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1063633055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AK · 5017

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.

1201 E 36TH AVE, Anchorage, AK 99508

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Secondary Practice Locations 2

Location 1700 Chief Eddie Hoffman HighwayBethel, AK 99559-0287 · Phone (907) 543-6300

Location 24001 Dale St Ste 201Anchorage, AK 99508-5445 · Phone (907) 569-3600 · Fax (907) 569-3200

Other Identifiers 1

Medicaid1014300AK

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, Providence Health Plan.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

Marin Granholm 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.

PECOS PAC ID941382188

PECOS Enrollment IDI20080128000435

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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99508 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.

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