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NORTHERN NEUROLOGY, LLC
NPI 1306684980
Psychiatry & Neurology - Neurology in Wasilla, AK

Active since July 17, 2024
3505 E MERIDIAN PARK LOOP STE 100, WASILLA, AK 99654(907) 416-6594(800) 654-6250 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northern Neurology, Llc NPPES

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

NORTHERN NEUROLOGY, LLC (NPI 1306684980) is a healthcare organization registered as a neurology in Wasilla, Alaska and active in the NPI registry since July 2024. The organization maintains 2 additional practice locations and lists Natasha Ditomaso, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1306684980
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameNORTHERN NEUROLOGY, LLC
Location Address3505 E MERIDIAN PARK LOOP STE 100Wasilla, AK 99654-7242
Mailing Address3505 E Meridian Park Loop Ste 100Wasilla, AK 99654-7242 · (907) 416-6594 · Fax (800) 654-6250
Phone(907) 416-6594
Fax(800) 654-6250
Organization SubpartNo
Authorized OfficialNatasha DitomasoPractice Manager · (907) 416-6594
Enumeration DateJuly 17, 2024
Last NPPES UpdateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
✔ NPI 1306684980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

3505 E MERIDIAN PARK LOOP STE 100, Wasilla, AK 99654
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Secondary Practice Locations 2

Location 14000 Old Seward Hwy Ste 301Anchorage, AK 99503-6068 · Phone (907) 416-6594 · Fax (800) 654-6250
Location 21405 Kellum St Ste 100Fairbanks, AK 99701-4189 · Phone (907) 416-6594 · Fax (800) 654-6250

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CATHLEEN E MARSHALL MD
Psychiatry & Neurology (Neurodevelopmental Disabilities)
3505 E MERIDIAN PARK LOOP STE 100
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 416-6594
ALISON ARMOUR NP
Nurse Practitioner (Family)
3505 E MERIDIAN PARK LOOP STE 100
WASILLA, AK 99654
Matanuska-Susitna Borough (079) 416-6594
CENTER FOR WOMEN'S HEALTH CARE, LLC
Obstetrics & Gynecology
3505 E MERIDIAN PARK LOOP STE 100
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 357-4963
DR. ELLEN DEE FAUCETT D.O.
Obstetrics & Gynecology
3505 E MERIDIAN PARK LOOP STE 100
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 357-4963
JOHN B KELLY MD
Psychiatry & Neurology (Neurology)
3505 E MERIDIAN PARK LOOP STE 100
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 416-6594
CHRISTINE BAILES, LLC
Nurse Practitioner (Family)
3505 E MERIDIAN PARK LOOP STE 100
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 864-0022
CHRISTINE OLGA BAILES RN, MSN, FNP
Nurse Practitioner (Family)
3505 E MERIDIAN PARK LOOP STE 100
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 864-0022
DEBBY L MALONEY FNP-BC
Nurse Practitioner (Family)
3505 E MERIDIAN PARK LOOP STE 100
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-4644

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 Northern Neurology, LLC's NPI number?

The NPI number for Northern Neurology, LLC is 1306684980. It was assigned to this organization in the NPPES registry on July 17, 2024.

Where is Northern Neurology, LLC located?

Northern Neurology, LLC is located at 3505 E Meridian Park Loop Ste 100, Wasilla, AK 99654. The listed phone number is (907) 416-6594.

What is Northern Neurology, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

What insurance does Northern Neurology, LLC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Northern Neurology, 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 Northern Neurology, LLC was last updated on February 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.