NORTH PACIFIC MEDICAL CENTER
NPI 1225106263
Family Medicine in Kodiak, AK

Active since November 30, 2006CLIA 02D0640992 · Waiver
104 CENTER AVE, STE 100, KODIAK, AK 99615(907) 486-4183(907) 486-4233 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About North Pacific Medical Center NPPES

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

NORTH PACIFIC MEDICAL CENTER (NPI 1225106263) is a healthcare organization registered as a family medicine in Kodiak, Alaska and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 20, 2028 and lists Loren Dean Halter, President, as its authorized official.

NPPES Registry Identity

NPI1225106263
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTH PACIFIC MEDICAL CENTER
Location Address104 CENTER AVE, STE 100Kodiak, AK 99615
Mailing Address104 Center Ave, Ste 100Kodiak, AK 99615 · (907) 486-4183 · Fax (907) 486-4233
Fax(907) 486-4233
Organization SubpartNo
Authorized OfficialLoren Dean HalterPresident · (907) 486-4183
Enumeration DateNovember 30, 2006
Last NPPES UpdateOctober 4, 2023
✔ NPI 1225106263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
104 CENTER AVE, Kodiak, AK 99615

Other Identifiers 3

MedicaidGR0124AK
MedicaidMD1326AK
MedicaidMD1532AK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

North Pacific Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to North Pacific Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1992080139
104 CENTER AVE STE 100
Kodiak, AK 99615
(907) 486-4183
✔ PECOS✔ Accepts MedicareSame address
General Practice
NPI 1538205307
104 CENTER AVE STE 100
Kodiak, AK 99615
(907) 486-4183
✔ PECOS✔ Accepts MedicareSame address

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 02D0640992

North Pacific Medical Center · Kodiak, AK
Active · expires Aug 20, 2028
CLIA Number02D0640992
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2026
Certificate Expiration DateAugust 20, 2028
Laboratory DirectorDr. Kevin Creelman
Laboratory Phone(907) 486-4183
Laboratory LocationNorth Pacific Medical Center104 Center Avenue #100, Kodiak, AK 99615
CLIA data matches this NPI record on: Address 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 North Pacific Medical Center's NPI number?

The NPI number for North Pacific Medical Center is 1225106263. It was assigned to this organization in the NPPES registry on November 30, 2006.

Where is North Pacific Medical Center located?

North Pacific Medical Center is located at 104 Center Ave Ste 100, Kodiak, AK 99615. The listed phone number is (907) 486-4183.

What is North Pacific Medical Center's specialty?

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

Is North Pacific Medical Center enrolled in Medicare?

Yes. North Pacific Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Pacific Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to North Pacific Medical Center, in General Practice and Nurse Practitioner. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does North Pacific Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D0640992) is associated with this NPI, valid through August 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Pacific Medical Center accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list North Pacific Medical Center 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 North Pacific Medical Center was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.