MAT - SU HEALTH SERVICES INC.
NPI 1184725210
Clinic/Center - Mental Health (Including Community Mental Health Center) in Wasilla, AK

Active since September 25, 2006CLIA 02D1046987 · Microscopy
1363 W SPRUCE AVE, WASILLA, AK 99654(907) 376-2411(907) 352-3363 Get Directions Write a Review

NPPES record last updated: June 10, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mat - Su Health Services Inc. NPPES

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

MAT - SU HEALTH SERVICES INC. (NPI 1184725210) is a healthcare organization registered as a mental health (including community mental health center) in Wasilla, Alaska and active in the NPI registry since September 2006. The organization holds a CLIA Microscopy certificate valid through October 23, 2027 and lists Kevin Munson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184725210
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMAT - SU HEALTH SERVICES INC.
Location Address1363 W SPRUCE AVEWasilla, AK 99654-5327
Mailing Address1363 W Spruce AveWasilla, AK 99654-5327 · (907) 376-2411 · Fax (907) 352-3363
Fax(907) 352-3363
Organization SubpartNo
Authorized OfficialKevin MunsonCeo · (907) 376-2411
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJune 10, 2010
✔ NPI 1184725210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1363 W SPRUCE AVE, Wasilla, AK 99654

Other Identifiers 5

Medicare PIN021831AK
MedicaidMH0469AK
MedicaidRH779FQAK
Medicare ID-Type Unspecified02-1831AK · Medicare Part-a Fqhc
Medicare ID-Type UnspecifiedK0000WCHFHAK · Behavioral Health Unit

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)

Mat - Su Health Services Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

33

Medicare enrollment records show 33 clinicians reassign Medicare billing to Mat - Su Health Services Inc., which bills Medicare for the services they deliver. Of these, 24 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Clinical Social Worker13
Nurse Practitioner10
Mental Health Counselor7
Family Practice2
Psychiatry1

Nearest to this location (20)

See all 33
Nurse Practitioner
NPI 1083379184
1363 W SPRUCE AVE
Wasilla, AK 99654
(907) 376-2411
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1437165297
1363 W SPRUCE AVE
Wasilla, AK 99654
(907) 376-2411
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1588163794
1363 W SPRUCE AVE
Wasilla, AK 99654
(907) 376-2411
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1154127199
1363 W SPRUCE AVE
Wasilla, AK 99654
(907) 352-3340
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1679500060
1363 W SPRUCE AVE
Wasilla, AK 99654
(907) 376-2411
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1609397793
1363 W SPRUCE AVE
Wasilla, AK 99654
(907) 376-2411
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1659046449
1363 W SPRUCE AVE
Wasilla, AK 99654
(907) 376-2411
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1568700870
1363 W SPRUCE AVE
Wasilla, AK 99654
(907) 376-2411
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1134835788
1363 W SPRUCE AVE
Wasilla, AK 99654
(908) 376-2411
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1386267029
1363 W SPRUCE AVE
Wasilla, AK 99654
(907) 376-2411
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1962415349
1363 W SPRUCE AVE
Wasilla, AK 99654
(907) 376-2411
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1588354419
1363 W SPRUCE AVE
Wasilla, AK 99654
(907) 352-3238
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1033461942
1363 W SPRUCE AVE
Wasilla, AK 99654
(907) 376-2411
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1770751554
1363 W SPRUCE AVE
Wasilla, AK 99654
(907) 376-2411
✔ PECOS✔ Accepts Medicare0.1 mi
Psychiatry
NPI 1326196692
1363 W SPRUCE AVE
Wasilla, AK 99654
(907) 376-2411
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1306367479
1363 W SPRUCE AVE
Wasilla, AK 99654
(073) 762-4119
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1578197190
1363 W SPRUCE AVE
Wasilla, AK 99654
(907) 376-2411
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1952655235
1363 W SPRUCE AVE
Wasilla, AK 99654
(907) 376-2411
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1164408126
1363 W SPRUCE AVE
Wasilla, AK 99654
(907) 376-2411
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1174928113
1363 W SPRUCE AVE
Wasilla, AK 99654
(907) 376-2411
✔ PECOS✔ Accepts Medicare0.1 mi
See all 33 clinicians

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 for Provider-Performed Microscopy Procedures (PPMP) 02D1046987

Mat-Su Health Services Inc · Wasilla, AK
Active · expires Oct 23, 2027
CLIA Number02D1046987
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 24, 2025
Certificate Expiration DateOctober 23, 2027
Laboratory DirectorSusanne Dillon
Laboratory Phone(907) 376-2411
Laboratory LocationMat-Su Health Services Inc1363 West Spruce Avenue, Wasilla, AK 99654
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Mat - Su Health Services Inc.'s NPI number?

The NPI number for Mat - Su Health Services Inc. is 1184725210. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Mat - Su Health Services Inc. located?

Mat - Su Health Services Inc. is located at 1363 W Spruce Ave, Wasilla, AK 99654. The listed phone number is (907) 376-2411.

What is Mat - Su Health Services Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Mat - Su Health Services Inc. enrolled in Medicare?

Yes. Mat - Su Health Services Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mat - Su Health Services Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 5 Medicare specialties reassign their Medicare billing to Mat - Su Health Services Inc.. 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 Clinical Social Worker (13), Nurse Practitioner (10) and Mental Health Counselor (7). Of these, 24 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mat - Su Health Services Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 02D1046987) is associated with this NPI, valid through October 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mat - Su Health Services Inc. accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Mat - Su Health Services Inc. 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 Mat - Su Health Services Inc. was last updated on June 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.