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TRAILHEAD MEDICAL CARE LLC
NPI 1275307449
Family Medicine in Anchorage, AK

Active since November 08, 2023CLIA 02D2296070 · Waiver
729 NORTHWAY DR, ANCHORAGE, AK 99508(907) 644-3239(907) 644-3983 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 24, 2025, Nov 8, 2023 (2 updates tracked since 2023).

About Trailhead Medical Care Llc NPPES

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

TRAILHEAD MEDICAL CARE LLC (NPI 1275307449) is a healthcare organization registered as a family medicine in Anchorage, Alaska and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through December 19, 2027 and lists Tiffany Jeanette Ell, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1275307449
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRAILHEAD MEDICAL CARE LLC
Location Address729 NORTHWAY DRAnchorage, AK 99508-2030
Mailing Address729 Northway DrAnchorage, AK 99508-2030 · (907) 644-3239 · Fax (907) 644-3983
Phone(907) 644-3239
Fax(907) 644-3983
Organization SubpartNo
Authorized OfficialTiffany Jeanette EllOwner/member · (303) 990-1432
Enumeration DateNovember 8, 2023
Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1275307449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
729 NORTHWAY DR, Anchorage, AK 99508
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.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)

Trailhead Medical Care 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 Trailhead Medical Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tiffany Ell, FNP-C
Nurse Practitioner
NPI 1285224220
729 NORTHWAY DR
Anchorage, AK 99508
(907) 644-3239
✔ 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 02D2296070

Trailhead Medical Care · Anchorage, AK
Active · expires Dec 19, 2027
CLIA Number02D2296070
Laboratory TypeNp Family Clinic
Certificate Effective DateDecember 20, 2025
Certificate Expiration DateDecember 19, 2027
Laboratory DirectorTiffany J. Tate
Laboratory Phone(907) 644-3239
Laboratory LocationTrailhead Medical Care729 Northway Dr, Anchorage, AK 99508
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 Trailhead Medical Care LLC's NPI number?

The NPI number for Trailhead Medical Care LLC is 1275307449. It was assigned to this organization in the NPPES registry on November 8, 2023.

Where is Trailhead Medical Care LLC located?

Trailhead Medical Care LLC is located at 729 Northway Dr, Anchorage, AK 99508. The listed phone number is (907) 644-3239.

What is Trailhead Medical Care LLC's specialty?

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

Is Trailhead Medical Care LLC enrolled in Medicare?

Yes. Trailhead Medical Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Trailhead Medical Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Trailhead Medical Care 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 Trailhead Medical Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2296070) is associated with this NPI, valid through December 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Trailhead Medical Care LLC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Trailhead Medical Care 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 Trailhead Medical Care LLC was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.