PURE INFUSION OF ALASKA LLC
NPI 1184516049
Clinic/Center - Multi-Specialty in Anchorage, AK

Active since July 16, 2025
4200 LAKE OTIS PKWY STE 301, ANCHORAGE, AK 99508(907) 318-9300 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pure Infusion Of Alaska Llc NPPES

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

PURE INFUSION OF ALASKA LLC (NPI 1184516049) is a healthcare organization registered as a multi-specialty in Anchorage, Alaska and active in the NPI registry since July 2025. The organization lists Rachel Ann Fraga, Director Of Payer Development, as its authorized official.

NPPES Registry Identity

NPI1184516049
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePURE INFUSION OF ALASKA LLC
Location Address4200 LAKE OTIS PKWY STE 301Anchorage, AK 99508-5226
Mailing Address4179 S Riverboat Rd Ste 220Taylorsville, UT 84123-2986 · (801) 590-9267
Organization SubpartNo
Authorized OfficialRachel Ann FragaDirector Of Payer Development · (801) 921-6325
Enumeration DateJuly 16, 2025
Last NPPES UpdateOctober 8, 2025
NPPES CertifiedOctober 8, 2025
✔ NPI 1184516049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
4200 LAKE OTIS PKWY STE 301, Anchorage, AK 99508

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)

Pure Infusion Of Alaska Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Pure Infusion Of Alaska LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Emergency Medicine
NPI 1578882759
1380 E MEDICAL CENTER DR
St George, UT 84790
(435) 251-1000
✔ PECOS✔ Accepts Medicare2,285 mi
Nurse Practitioner
NPI 1003499013
7201 W LAKE MEAD BLVD STE 112
Las Vegas, NV 89128
(702) 703-5160
✔ PECOS✔ Accepts Medicare2,291 mi
Nurse Practitioner
NPI 1669087599
1610 E CAMELBACK RD
Phoenix, AZ 85016
(602) 277-1727
✔ PECOS✔ Accepts Medicare2,542 mi
Nurse Practitioner
NPI 1942915137
2525 S TELSHOR BLVD STE 15-202
Las Cruces, NM 88011
(888) 209-8874
✔ PECOS✔ Accepts Medicare2,770 mi
Nurse Practitioner
NPI 1659860724
1500 N OAKLAND AVE
Bolivar, MO 65613
(417) 326-6000
✔ PECOS✔ Accepts Medicare2,891 mi

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 Pure Infusion Of Alaska LLC's NPI number?

The NPI number for Pure Infusion Of Alaska LLC is 1184516049. It was assigned to this organization in the NPPES registry on July 16, 2025.

Where is Pure Infusion Of Alaska LLC located?

Pure Infusion Of Alaska LLC is located at 4200 Lake Otis Pkwy Ste 301, Anchorage, AK 99508. The listed phone number is (907) 318-9300.

What is Pure Infusion Of Alaska LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Pure Infusion Of Alaska LLC enrolled in Medicare?

Yes. Pure Infusion Of Alaska LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pure Infusion Of Alaska LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Pure Infusion Of Alaska 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. The largest specialties are Nurse Practitioner (4) and Emergency Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pure Infusion Of Alaska LLC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Pure Infusion Of Alaska 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 Pure Infusion Of Alaska LLC was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.