MEDICAL NETWORK OF ALASKA, LLC
NPI 1235024936
Dermatology in Anchorage, AK

Active since June 11, 2025CLIA 02D2229051 · Waiver
1100 E DIMOND BLVD, ANCHORAGE, AK 99515(907) 357-2332 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medical Network Of Alaska, Llc NPPES

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

MEDICAL NETWORK OF ALASKA, LLC (NPI 1235024936), doing business as Alaska Advanced Dermatology, is a healthcare organization registered as a dermatology in Anchorage, Alaska and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through July 5, 2027 and lists Jacquelyn Renee Blomker, Revenue Cycle Manager, as its authorized official.

NPPES Registry Identity

NPI1235024936
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMEDICAL NETWORK OF ALASKA, LLC
Location Address1100 E DIMOND BLVDAnchorage, AK 99515-2001
Mailing Address3331 E Meridian Park LoopWasilla, AK 99654-7294
Organization SubpartYes
Authorized OfficialJacquelyn Renee BlomkerRevenue Cycle Manager · (907) 357-9590
Enumeration DateJune 11, 2025
NPPES CertifiedJune 11, 2025
NPI 1235024936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1100 E DIMOND BLVD, Anchorage, AK 99515

Other Names 1

Doing Business AsAlaska Advanced Dermatology

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

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 02D2229051

Medical Network Of Alaska Dba Capstone Diabetes And Endocrinology · Wasilla, AK
Active · expires Jul 5, 2027
CLIA Number02D2229051
Laboratory TypePhysician Office
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorShawna L. Finley
Laboratory Phone(907) 357-2332
Laboratory LocationMedical Network Of Alaska Dba Capstone Diabetes And Endocrinology3331 E Meridian Park Loop, Wasilla, AK 99654
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Psychiatry & Neurology (Neurology)
1100 E DIMOND BLVD
ANCHORAGE, AK 99515
Psychiatry & Neurology (Neurology)
1100 E DIMOND BLVD
ANCHORAGE, AK 99515
Clinical Neuropsychologist
1100 E DIMOND BLVD
ANCHORAGE, AK 99515
Massage Therapist
1100 E DIMOND BLVD
ANCHORAGE, AK 99515
Otolaryngology
1100 E DIMOND BLVD
ANCHORAGE, AK 99515
Otolaryngology
1100 E DIMOND BLVD
ANCHORAGE, AK 99515

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 Medical Network Of Alaska, LLC's NPI number?

The NPI number for Medical Network Of Alaska, LLC is 1235024936. It was assigned to this organization in the NPPES registry on June 11, 2025. The provider is doing business as Alaska Advanced Dermatology.

Where is Medical Network Of Alaska, LLC located?

Medical Network Of Alaska, LLC is located at 1100 E Dimond Blvd, Anchorage, AK 99515. The listed phone number is (907) 357-2332.

What is Medical Network Of Alaska, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Medical Network Of Alaska, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2229051) is associated with this NPI, valid through July 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medical Network Of Alaska, LLC was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.