UPSTREAM FAMILY MEDICINE INC
NPI 1063833937
Family Medicine in Soldotna, AK

Active since December 19, 2013CLIA 02D2078215 · Microscopy
35743 KENAI SPUR HWY STE A, SOLDOTNA, AK 99669(907) 260-4468(907) 260-4467 Get Directions Write a Review

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

Record update history: Jan 20, 2026, Jun 7, 2021 (2 updates tracked since 2021).

About Upstream Family Medicine Inc NPPES

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

UPSTREAM FAMILY MEDICINE INC (NPI 1063833937) is a healthcare organization registered as a family medicine in Soldotna, Alaska and active in the NPI registry since December 2013. The organization holds a CLIA Microscopy certificate valid through May 22, 2028 and lists Kristen Marie Iagulli Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1063833937
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUPSTREAM FAMILY MEDICINE INC
Location Address35743 KENAI SPUR HWY STE ASoldotna, AK 99669-7161
Mailing AddressPo Box 22652Belfast, ME 04915-4477 · (907) 260-4468 · Fax (907) 260-4467
Fax(907) 260-4467
Organization SubpartNo
Authorized OfficialKristen Marie Iagulli LeeOwner · (907) 260-4468
Enumeration DateDecember 19, 2013
Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1063833937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDermatologyTaxonomy 207N00000X
35743 KENAI SPUR HWY STE A, Soldotna, AK 99669

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Upstream Family Medicine Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Upstream Family Medicine Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Dermatology
NPI 1255693578
35743 KENAI SPUR HWY STE A
Soldotna, AK 99669
(907) 260-4468
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1982894861
35743 KENAI SPUR HWY STE A
Soldotna, AK 99669
(907) 260-4468
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1023541000
35743 KENAI SPUR HWY STE A
Soldotna, AK 99669
(907) 260-4468
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1598151797
4300 B ST STE 200
Anchorage, AK 99503
(907) 375-3355
✔ PECOS✔ Accepts Medicare62 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 02D2078215

Upstream Family Medicine · Soldotna, AK
Active · expires May 22, 2028
CLIA Number02D2078215
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorKristen M. Lee
Laboratory Phone(907) 260-4468
Laboratory LocationUpstream Family Medicine35743 Kenai Spur Hwy, Ste A, Soldotna, AK 99669
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Upstream Family Medicine Inc's NPI number?

The NPI number for Upstream Family Medicine Inc is 1063833937. It was assigned to this organization in the NPPES registry on December 19, 2013.

Where is Upstream Family Medicine Inc located?

Upstream Family Medicine Inc is located at 35743 Kenai Spur Hwy Ste A, Soldotna, AK 99669. The listed phone number is (907) 260-4468.

What is Upstream Family Medicine Inc's specialty?

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

Is Upstream Family Medicine Inc enrolled in Medicare?

Yes. Upstream Family Medicine Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Upstream Family Medicine Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Upstream Family Medicine Inc. 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. The largest specialties are Family Practice (3) and Dermatology (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Upstream Family Medicine Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 02D2078215) is associated with this NPI, valid through May 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Upstream Family Medicine Inc accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Upstream Family Medicine Inc 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 Upstream Family Medicine Inc was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.