PROVIDENCE HEALTH & SERVICES- WASHINGTON
NPI 1093956278
Internal Medicine - Critical Care Medicine in Anchorage, AK

Active since March 17, 2009
3200 PROVIDENCE DR, ANCHORAGE, AK 99508(907) 212-6002(907) 212-8340 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 5, 2025, May 15, 2025, Mar 7, 2024 and 3 more (6 updates tracked since 2016).

About Providence Health & Services- Washington NPPES

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

PROVIDENCE HEALTH & SERVICES- WASHINGTON (NPI 1093956278), doing business as Providence Medical Group Alaska, is a healthcare organization registered as a critical care medicine in Anchorage, Alaska and active in the NPI registry since March 2009. The organization lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1093956278
Entity TypeOrganization
Primary Taxonomy207RC0200X
Legal Business NamePROVIDENCE HEALTH & SERVICES- WASHINGTON
Location Address3200 PROVIDENCE DRAnchorage, AK 99508-4615
Mailing AddressPo Box 31001-4162Pasadena, CA 91110-4162
Fax(907) 212-8340
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateMarch 17, 2009
Last NPPES UpdateAugust 18, 20256 updates tracked since enumeration
NPPES CertifiedAugust 18, 2025
✔ NPI 1093956278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
3200 PROVIDENCE DR, Anchorage, AK 99508

Other Names 1

Doing Business AsProvidence Medical Group Alaska

Other Identifiers 1

Medicaid1020543AK

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)

Providence Health & Services- Washington is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

364

Medicare enrollment records show 364 clinicians reassign Medicare billing to Providence Health & Services- Washington, which bills Medicare for the services they deliver. Of these, 30 practice at this address and 157 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 28

Neurology75
Family Practice63
Nurse Practitioner25
Internal Medicine24
Pediatric Medicine22
Hospitalist19
Psychiatry18
Clinical Social Worker17
20 other specialties101

Nearest to this location (20)

See all 364
Nurse Practitioner
NPI 1871896894
3200 PROVIDENCE DR SUITE B111
Anchorage, AK 99508
(907) 212-7997
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265023485
3200 PROVIDENCE DR STE 111
Anchorage, AK 99508
(907) 562-2211
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1447283767
3200 PROVIDENCE DR SUITE B111
Anchorage, AK 99508
(907) 212-7997
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1942542030
3200 PROVIDENCE DR
Anchorage, AK 99508
(907) 562-2211
✔ PECOSSame address
Qualified Speech Language Pathologist
NPI 1720698129
3300 PROVIDENCE DR STE B201
Anchorage, AK 99508
(907) 212-3116
Same address
Physical Therapist in Private Practice
NPI 1477160240
3300 PROVIDENCE DR STE B201
Anchorage, AK 99508
(907) 212-3116
✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1083756357
3300 PROVIDENCE DR STE B302
Anchorage, AK 99508
(907) 212-4042
Same address
Pulmonary Disease
NPI 1407838170
3300 PROVIDENCE DR STE B208
Anchorage, AK 99508
(907) 212-4090
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1851621064
3300 PROVIDENCE DR TOWER B, SUITE 314
Anchorage, AK 99508
(907) 212-3420
✔ PECOS✔ Accepts MedicareSame address
Hospice/Palliative Care
NPI 1053336354
3300 PROVIDENCE DR STE B-104
Anchorage, AK 99508
(607) 212-7997
✔ PECOSSame address
Clinical Social Worker
NPI 1487192464
3300 PROVIDENCE DR SUITE B314
Anchorage, AK 99508
(907) 212-3420
✔ PECOSSame address
Family Practice
NPI 1437319522
3300 PROVIDENCE DR B314
Anchorage, AK 99508
(907) 212-3420
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1639419161
3300 PROVIDENCE DR SUITE B314
Anchorage, AK 99508
(907) 212-3420
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1720466949
3300 PROVIDENCE DR STE B314
Anchorage, AK 99508
(907) 212-3420
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1639788896
3300 PROVIDENCE DR STE B201
Anchorage, AK 99508
(907) 212-3116
Same address
Hospice/Palliative Care
NPI 1093277329
3300 PROVIDENCE DR STE B-104
Anchorage, AK 99508
(907) 212-7997
✔ PECOSSame address
Registered Dietitian or Nutrition Professional
NPI 1033576665
3340 PROVIDENCE DR STE A453
Anchorage, AK 99508
(907) 212-7982
Same address
Pediatric Medicine
NPI 1437384583
3340 PROVIDENCE DR STE A-565
Anchorage, AK 99508
(907) 212-2321
✔ PECOSSame address
Internal Medicine
NPI 1356356802
3340 PROVIDENCE DR #466
Anchorage, AK 99508
(907) 263-2200
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1720172471
3340 PROVIDENCE DR A351
Anchorage, AK 99508
(907) 212-4824
Same address
See all 364 clinicians

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

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 Providence Health & Services- Washington's NPI number?

The NPI number for Providence Health & Services- Washington is 1093956278. It was assigned to this organization in the NPPES registry on March 17, 2009. The provider is doing business as Providence Medical Group Alaska.

Where is Providence Health & Services- Washington located?

Providence Health & Services- Washington is located at 3200 Providence Dr, Anchorage, AK 99508. The listed phone number is (907) 212-6002.

What is Providence Health & Services- Washington's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Providence Health & Services- Washington enrolled in Medicare?

Yes. Providence Health & Services- Washington is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services- Washington?

According to the CMS Revalidation Reassignment List (October 2026 release), 364 clinicians in 28 Medicare specialties reassign their Medicare billing to Providence Health & Services- Washington. 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 Neurology (75), Family Practice (63) and Nurse Practitioner (25). Of these, 30 practice at this address and 157 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Providence Health & Services- Washington accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Providence Health & Services- Washington 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 Providence Health & Services- Washington was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.