ALYSSA BOLOG
NPI 1174275028
Case Manager/Care Coordinator in Wasilla, AK

Q: What is Alyssa Bolog's NPI number?

The NPI number for Alyssa Bolog is 1174275028. It was assigned to this individual provider in the NPPES registry on January 21, 2022.

Q: What is Alyssa Bolog's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Bolog was last updated on November 6, 2025. 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.

Active since January 21, 2022

777 N CRUSEY ST STE B101, WASILLA, AK 99654(907) 746-3445(907) 746-3439 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2025, Jan 21, 2022 (2 updates tracked since 2022).

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About Alyssa Bolog NPPES

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

ALYSSA BOLOG (NPI 1174275028) is an individual case manager/care coordinator provider in Wasilla, Alaska and active in the NPI registry since January 2022. She maintains a secondary practice location in Anchorage.

NPPES Registry Identity

NPI1174275028

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameALYSSA BOLOG

Location Address777 N CRUSEY ST STE B101Wasilla, AK 99654-7101

Mailing Address777 N Crusey St Ste B101Wasilla, AK 99654-7101 · (907) 746-3445 · Fax (907) 746-3439

Phone(907) 746-3445

Fax(907) 746-3439

Sole ProprietorNo

Enumeration DateJanuary 21, 2022

Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration

NPPES CertifiedNovember 6, 2025

✔ NPI 1174275028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

777 N CRUSEY ST STE B101, Wasilla, AK 99654

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Secondary Practice Location 1

Location 11750 Abbott RdAnchorage, AK 99507-3450 · Phone (907) 561-3313 · Fax (907) 561-3315

Other Providers at the Same Location NPPES 9

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

RANDY HART

Case Manager/Care Coordinator