ALASKA FAMILY DERMATOLOGY, LLC
NPI 1265096010
Dermatology - Pediatric Dermatology in Anchorage, AK
About Alaska Family Dermatology, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALASKA FAMILY DERMATOLOGY, LLC (NPI 1265096010) is a healthcare organization registered as a pediatric dermatology in Anchorage, Alaska and active in the NPI registry since April 2019. The organization holds a CLIA Microscopy certificate valid through June 9, 2027 and lists Gina Marie Brown, Owner/dermatologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Alaska Family Dermatology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Alaska Family Dermatology, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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) 02D2167469
Alaska Family Dermatology, LLC · Anchorage, AKFrequently 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 Alaska Family Dermatology, LLC's NPI number?
The NPI number for Alaska Family Dermatology, LLC is 1265096010. It was assigned to this organization in the NPPES registry on April 26, 2019.
Where is Alaska Family Dermatology, LLC located?
Alaska Family Dermatology, LLC is located at 3340 Providence Dr Ste A358, Anchorage, AK 99508. The listed phone number is (907) 268-2067.
What is Alaska Family Dermatology, LLC's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.
Is Alaska Family Dermatology, LLC enrolled in Medicare?
Yes. Alaska Family Dermatology, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Alaska Family Dermatology, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Alaska Family Dermatology, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Alaska Family Dermatology, LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 02D2167469) is associated with this NPI, valid through June 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Alaska Family Dermatology, LLC accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Alaska Family Dermatology, 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 Alaska Family Dermatology, LLC was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Alaska Family Dermatology, Llc · NPI 1265096010
Pediatric Dermatology organization in Anchorage, Alaska. Organization record, active in the CMS NPPES registry since April 26, 2019.
## Identity
- **NPI:** 1265096010 (Entity type: Organization)
- **Enumerated:** April 26, 2019
- **Primary specialty:** Dermatology - Pediatric Dermatology · taxonomy 207NP0225X
- **Organization subpart:** No
- **Authorized official:** Gina Brown, OWNER/DERMATOLOGIST
## Practice location
- **Address:** 3340 PROVIDENCE DR STE A358, Anchorage, AK 99508-4691
- **Phone:** (907) 268-2067 · **Fax:** (855) 395-0858
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 18, 2025
- **Other identifiers:** Medicaid 1583538 (AK)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1265096010) · Data from the CMS NPPES public registry.