DR. MARY ELIZABETH MILDENBERGER DNP
NPI 1265074454
Nurse Practitioner in Wasilla, AK
About Dr. Mary Elizabeth Mildenberger Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARY ELIZABETH MILDENBERGER DNP (NPI 1265074454) is an individual nurse practitioner in Wasilla, Alaska, licensed in Alaska (179531) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mary Elizabeth Mildenberger Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Mildenberger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wasilla, AK 99654
- Reassigned Medicare billing, Texas enrollment
- 459 clinicians in this Medicare group
Anchorage, AK 99508
- Reassigned Medicare billing, Texas enrollment
- 1,373 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99654 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mary Mildenberger's NPI number?
The NPI number for Mary Mildenberger is 1265074454. It was assigned to this individual provider in the NPPES registry on October 9, 2019. The provider is also known as Mary Elizabeth Smith.
Where is Mary Mildenberger located?
Mary Mildenberger practices at 1001 S Knik Goose Bay Rd, Wasilla, AK 99654. The listed phone number is (907) 631-7800.
What is Mary Mildenberger's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mary Mildenberger enrolled in Medicare?
Yes. Mary Mildenberger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mary Mildenberger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Mildenberger reassigns Medicare benefits to 2 organizations: Southcentral Foundation (Wasilla, AK) and Alaska Native Tribal Health Consortium (Anchorage, AK). Each 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 Mary Mildenberger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Mildenberger accept?
Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Select Health list Mary Mildenberger 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 Mary Mildenberger was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.
# Dr. Mary Elizabeth Mildenberger, DNP · NPI 1265074454
Nurse Practitioner physician in Wasilla, Alaska. Individual provider, active in the CMS NPPES registry since October 9, 2019.
## Identity
- **NPI:** 1265074454 (Entity type: Individual)
- **Enumerated:** October 9, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 179531 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 S KNIK GOOSE BAY RD, Wasilla, AK 99654-8083
- **Phone:** (907) 631-7800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southcentral Foundation (NPI 1003469719, Wasilla, AK); Alaska Native Tribal Health Consortium (NPI 1437189339, Anchorage, AK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1265074454) · Data from the CMS NPPES public registry.