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ODLAND FAMILY PRACTICE CLINIC, LLC
NPI 1114269313
Family Medicine in Wasilla, AK

Active since March 26, 2013
950 E BOGARD RD, SUITE 234, WASILLA, AK 99654(907) 355-0850(907) 373-0117 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Odland Family Practice Clinic, Llc NPPES

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

ODLAND FAMILY PRACTICE CLINIC, LLC (NPI 1114269313) is a healthcare organization registered as a family medicine in Wasilla, Alaska and active in the NPI registry since March 2013. The organization lists Shannon Pendergrass, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1114269313
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameODLAND FAMILY PRACTICE CLINIC, LLC
Location Address950 E BOGARD RD, SUITE 234Wasilla, AK 99654-7184
Mailing Address950 E Bogard Rd, Suite 234Wasilla, AK 99687-9481 · (907) 355-0850 · Fax (907) 373-0117
Phone(907) 355-0850
Fax(907) 373-0117
Organization SubpartNo
Authorized OfficialShannon PendergrassBilling Manager · (907) 355-0850
Enumeration DateMarch 26, 2013
✔ NPI 1114269313 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 · 955730
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.
950 E BOGARD RD, Wasilla, AK 99654
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Other Identifiers 4

Medicare UPINC96843AK
MedicaidMD1574AK
Medicare PINKOOOOLGBNMAK
MedicaidMD9857AK

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

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH WANG DDS
Dentist
950 E BOGARD RD, SUITE #225
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-0600
MAT-SU VALLEY II LLC
Home Health
950 E BOGARD RD, SUITE 132
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 861-6000
MS. SHAWN ADELE ROBERTS MS FNP
Nurse Practitioner (Family)
950 E BOGARD RD, SUITE 103
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 352-2880
PATRICIA B PAYNE ANP
Nurse Practitioner
950 E BOGARD RD, SUITE #228
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-8938
MRS. ELOWYN M SMITH DO
Pediatrics
950 E BOGARD RD, SUITE 233
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 357-4543
GAGNON PLASTIC AND RECONSTRUCTIVE SURGERY
Plastic Surgery
950 E BOGARD RD, SUITE 209
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 357-4550
MAT-SU NEUROLOGY, LLC
Clinic/Center (Health Service)
950 E BOGARD RD, SUITE 213
WASILLA, AK 99654
Matanuska-Susitna Borough (734) 657-3942
JANET L SHELLEY FNP
Nurse Practitioner (Family)
950 E BOGARD RD, SUITE 233
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 Odland Family Practice Clinic, LLC's NPI number?

The NPI number for Odland Family Practice Clinic, LLC is 1114269313. It was assigned to this organization in the NPPES registry on March 26, 2013.

Where is Odland Family Practice Clinic, LLC located?

Odland Family Practice Clinic, LLC is located at 950 E Bogard Rd Suite 234, Wasilla, AK 99654. The listed phone number is (907) 355-0850.

What is Odland Family Practice Clinic, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Odland Family Practice Clinic, LLC was last updated on March 26, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.