URGENT CARE AT LAKE LUCILLE INC
NPI 1275587768
Clinic/Center - Urgent Care in Wasilla, AK
About Urgent Care At Lake Lucille Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
URGENT CARE AT LAKE LUCILLE INC (NPI 1275587768) is a healthcare organization registered as an urgent care in Wasilla, Alaska and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 20, 2028 and lists Ellen R Varosi, Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Urgent Care At Lake Lucille Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Urgent Care At Lake Lucille Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 02D0892730
Urgent Care At Lake Lucille · Wasilla, 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 Urgent Care At Lake Lucille Inc's NPI number?
The NPI number for Urgent Care At Lake Lucille Inc is 1275587768. It was assigned to this organization in the NPPES registry on May 20, 2006.
Where is Urgent Care At Lake Lucille Inc located?
Urgent Care At Lake Lucille Inc is located at 185 E Parks Hwy, Wasilla, AK 99654. The listed phone number is (907) 373-4203.
What is Urgent Care At Lake Lucille Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Urgent Care At Lake Lucille Inc enrolled in Medicare?
Yes. Urgent Care At Lake Lucille Inc is registered in the Medicare PECOS enrollment system.
When is Urgent Care At Lake Lucille Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alaska, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Urgent Care At Lake Lucille Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Urgent Care At Lake Lucille Inc. 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. The largest specialties are Nurse Practitioner (5), Family Practice (1) and General Practice (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Urgent Care At Lake Lucille Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 02D0892730) is associated with this NPI, valid through March 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Urgent Care At Lake Lucille Inc accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Urgent Care At Lake Lucille Inc 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 Urgent Care At Lake Lucille Inc was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Urgent Care At Lake Lucille Inc · NPI 1275587768
Urgent Care organization in Wasilla, Alaska. Organization record, active in the CMS NPPES registry since May 20, 2006.
## Identity
- **NPI:** 1275587768 (Entity type: Organization)
- **Enumerated:** May 20, 2006
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Ellen Varosi, FINANCIAL OFFICER
## Practice location
- **Address:** 185 E PARKS HWY, Wasilla, AK 99654-7038
- **Phone:** (907) 373-4203 · **Fax:** (907) 373-4201
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Alaska, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (1), General Practice (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2026
- **Other identifiers:** Medicaid MDG043 (AK); Medicaid MDG496 (AK)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275587768) · Data from the CMS NPPES public registry.