SUSITNA SURGERY CENTER LLC
NPI 1073009304
Clinic/Center - Ambulatory Surgical in Palmer, AK

Q: What is Susitna Surgery Center LLC's NPI number?

The NPI number for Susitna Surgery Center LLC is 1073009304. It was assigned to this organization in the NPPES registry on July 10, 2018.

Q: What is Susitna Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since July 10, 2018CLIA 02D2155324 · Waiver

2490 S WOODWORTH LOOP STE 100, PALMER, AK 99645(907) 861-6540(907) 861-6309 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 21, 2024, Dec 12, 2023, Jun 6, 2019 and 1 more (4 updates tracked since 2018).

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About Susitna Surgery Center Llc NPPES

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

SUSITNA SURGERY CENTER LLC (NPI 1073009304) is a healthcare organization registered as an ambulatory surgical in Palmer, Alaska and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through September 26, 2026 and lists Kristy Music, Ao-director, Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1073009304

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSUSITNA SURGERY CENTER LLC

Location Address2490 S WOODWORTH LOOP STE 100Palmer, AK 99645-7410

Mailing Address2490 S Woodworth Loop Ste 100Palmer, AK 99645-7410 · (907) 861-5640

Phone(907) 861-6540

Fax(907) 861-6309

Organization SubpartNo

Authorized OfficialKristy MusicAo-director, Provider Enrollment · (615) 465-7377

Enumeration DateJuly 10, 2018

Last NPPES UpdateAugust 21, 20244 updates tracked since enumeration

NPPES CertifiedAugust 21, 2024

✔ NPI 1073009304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

2490 S WOODWORTH LOOP STE 100, Palmer, AK 99645

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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 ›

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 02D2155324

Susitna Surgery Center, LLC · Palmer, AK

Active · expires Sep 26, 2026

CLIA Number02D2155324

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateSeptember 27, 2024

Certificate Expiration DateSeptember 26, 2026

Laboratory DirectorCarlie Fraser

Laboratory Phone(907) 861-6540

Laboratory LocationSusitna Surgery Center, LLC2490 S Woodworth Loop, Suite 100, Palmer, AK 99645

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

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.

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

147 services145 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

131 services129 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

61 services61 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

59 services59 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

49 services49 patients

Removal of nasal air passage under lining tissue 30140

This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.

44 services22 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

25 services22 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

20 services20 patients

Reshaping of nasal cartilage 30520

Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.

18 services18 patients

Insertion of hypoglossal nerve neurostimulator electrode and generator and breathing sensor electrode 64582

This procedure involves placing a device that stimulates the hypoglossal nerve, which controls tongue movement. A generator powers the device and a sensor monitors your breathing. This helps keep the airway open during sleep, improving conditions like sleep apnea.

14 services14 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

11 services11 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

11 services11 patients

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 Susitna Surgery Center LLC's NPI number?

The NPI number for Susitna Surgery Center LLC is 1073009304. It was assigned to this organization in the NPPES registry on July 10, 2018.

Where is Susitna Surgery Center LLC located?

Susitna Surgery Center LLC is located at 2490 S Woodworth Loop Ste 100, Palmer, AK 99645. The listed phone number is (907) 861-6540.

What is Susitna Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Susitna Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2155324) is associated with this NPI, valid through September 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Susitna Surgery Center LLC accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Susitna Surgery Center 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 Susitna Surgery Center LLC was last updated on August 21, 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.