DAVID SUMMERS WICHMANN DO
NPI 1295272417
Anesthesiology in Ft Wainwright, AK
About David Summers Wichmann Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID SUMMERS WICHMANN DO (NPI 1295272417) is an individual anesthesiology provider in Ft Wainwright, Alaska, licensed in Alaska (241993) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fairbanks, and is a graduate of Rocky Vista University College Of Osteopathic Med (2017).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 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
David Summers Wichmann Do 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 Reassignment
Medicare enrollment records show David Wichmann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairbanks, AK 99701
- Reassigned Medicare billing, Alaska enrollment
- 172 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.
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.
FT. WAINWRIGHT, AK 99703
FORT WAINWRIGHT, AK 99703
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 David Wichmann's NPI number?
The NPI number for David Wichmann is 1295272417. It was assigned to this individual provider in the NPPES registry on January 25, 2017.
Where is David Wichmann located?
David Wichmann practices at 4076 Neely Rd, Ft Wainwright, AK 99703. The listed phone number is (907) 361-5172.
What is David Wichmann's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is David Wichmann enrolled in Medicare?
Yes. David Wichmann 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 organization bills Medicare for David Wichmann's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Wichmann reassigns Medicare benefits to Tanana Valley Clinic LLC (Fairbanks, AK). The 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 David Wichmann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Wichmann accept?
Health plans from Moda Health Plan, Inc. list David Wichmann 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 David Wichmann was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# David Summers Wichmann, DO · NPI 1295272417
Anesthesiology physician in Ft Wainwright, Alaska. Individual provider, active in the CMS NPPES registry since January 25, 2017.
## Identity
- **NPI:** 1295272417 (Entity type: Individual)
- **Enumerated:** January 25, 2017
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 241993 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 4076 NEELY RD, Ft Wainwright, AK 99703
- **Phone:** (907) 361-5172
## 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:** Tanana Valley Clinic LLC (NPI 1922559558, Fairbanks, AK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rocky Vista University College Of Osteopathic Med, class of 2017
## Record status
- **NPPES last updated:** March 13, 2026
- **Other identifiers:** Medicaid 1760652 (AK)
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Source: [NPI Profile](https://npiprofile.com/npi/1295272417) · Data from the CMS NPPES public registry.