EDEN MEDICAL ASSOCIATES, LLC
NPI 1205634649
Nurse Practitioner - Primary Care in Anchorage, AK

Active since March 03, 2025CLIA 02D2333773 · Waiver
1569 BRAGAW ST STE 102, ANCHORAGE, AK 99508(907) 440-2987 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Eden Medical Associates, Llc NPPES

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

EDEN MEDICAL ASSOCIATES, LLC (NPI 1205634649) is a healthcare organization registered as a primary care in Anchorage, Alaska and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through November 10, 2027 and lists Megan Renee Hathcoat, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1205634649
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameEDEN MEDICAL ASSOCIATES, LLC
Location Address1569 BRAGAW ST STE 102Anchorage, AK 99508-3102
Mailing Address2905 Donington DrAnchorage, AK 99504-3844 · (907) 440-2987
Organization SubpartNo
Authorized OfficialMegan Renee HathcoatNurse Practitioner · (907) 440-2987
Enumeration DateMarch 3, 2025
NPPES CertifiedMarch 3, 2025
NPI 1205634649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1569 BRAGAW ST STE 102, Anchorage, AK 99508

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

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 02D2333773

Eden Medical Associates · Anchorage, AK
Active · expires Nov 10, 2027
CLIA Number02D2333773
Laboratory TypePractitioner Other
Certificate Effective DateNovember 11, 2025
Certificate Expiration DateNovember 10, 2027
Laboratory DirectorEbunoluwa Osara
Laboratory Phone(907) 302-3006
Laboratory LocationEden Medical Associates1569 Bragaw St, Ste 102, Anchorage, AK 99508
CLIA data matches this NPI record on: Address Name
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 Eden Medical Associates, LLC's NPI number?

The NPI number for Eden Medical Associates, LLC is 1205634649. It was assigned to this organization in the NPPES registry on March 3, 2025.

Where is Eden Medical Associates, LLC located?

Eden Medical Associates, LLC is located at 1569 Bragaw St Ste 102, Anchorage, AK 99508. The listed phone number is (907) 440-2987.

What is Eden Medical Associates, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Eden Medical Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2333773) is associated with this NPI, valid through November 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eden Medical Associates, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Eden Medical Associates, 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 Eden Medical Associates, LLC was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.