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ALCAN MEDICAL GROUP LLC
NPI 1134739485
Family Medicine in Fairbanks, AK

Active since August 02, 2020CLIA 02D2284127 · Waiver
751 OLD RICHARDSON HWY STE 203, FAIRBANKS, AK 99701(303) 472-6424 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2021, Sep 21, 2020, Aug 2, 2020 (3 updates tracked since 2020).

About Alcan Medical Group Llc NPPES

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

ALCAN MEDICAL GROUP LLC (NPI 1134739485) is a healthcare organization registered as a family medicine in Fairbanks, Alaska and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through June 18, 2027 and lists Casey E Blood, Owner, as its authorized official.

NPPES Registry Identity

NPI1134739485
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALCAN MEDICAL GROUP LLC
Location Address751 OLD RICHARDSON HWY STE 203Fairbanks, AK 99701-7805
Mailing Address751 Old Richardson Hwy Ste 101Fairbanks, AK 99701-7802 · (907) 328-0844 · Fax (907) 328-0843
Phone(303) 472-6424
Organization SubpartNo
Authorized OfficialCasey E BloodOwner · (907) 328-0844
Enumeration DateAugust 2, 2020
Last NPPES UpdateDecember 2, 20213 updates tracked since enumeration
NPPES CertifiedDecember 2, 2021
✔ NPI 1134739485 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 ListedDietitian, Registered · Nutrition, Obesity and Weight ManagementTaxonomy 133VN1201X
751 OLD RICHARDSON HWY STE 203, Fairbanks, AK 99701
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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)

Alcan Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Alcan Medical Group LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jorge Chavez, FNP
Nurse Practitioner
NPI 1396598579
751 OLD RICHARDSON HWY STE 101
Fairbanks, AK 99701
(907) 328-0843
✔ PECOS✔ Accepts Medicare0.3 mi
Joan Digeorge, RN, FNP-BC
Nurse Practitioner
NPI 1255102513
2555 PHILLIPS FIELD RD
Fairbanks, AK 99709
(907) 268-2737
✔ PECOS✔ Accepts Medicare3.4 mi
Ashley Brouwer, MSN, WHNP-BC, ANP-BC
Nurse Practitioner
NPI 1821256751
1744 FARMERS LOOP RD
Fairbanks, AK 99709
(907) 405-0467
✔ PECOS5.6 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 of Waiver 02D2284127

Alcan Medical Group · Eagle River, AK
Active · expires Jun 18, 2027
CLIA Number02D2284127
Laboratory TypePractitioner Other
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorMelinca Turcotte
Laboratory Phone(907) 328-0844
Laboratory LocationAlcan Medical Group12320 Old Glenn Highway, Eagle River, AK 99577
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Alcan Medical Group LLC's NPI number?

The NPI number for Alcan Medical Group LLC is 1134739485. It was assigned to this organization in the NPPES registry on August 2, 2020.

Where is Alcan Medical Group LLC located?

Alcan Medical Group LLC is located at 751 Old Richardson Hwy Ste 203, Fairbanks, AK 99701. The listed phone number is (303) 472-6424.

What is Alcan Medical Group LLC's specialty?

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

Is Alcan Medical Group LLC enrolled in Medicare?

Yes. Alcan Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alcan Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Alcan Medical Group LLC. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Alcan Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2284127) is associated with this NPI, valid through June 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Alcan Medical Group LLC accept?

Health plans from Moda Health Plan, Inc. list Alcan Medical Group 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 Alcan Medical Group LLC was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.