NORTHERN NEUROLOGY, LLC
NPI 1306684980
Psychiatry & Neurology - Neurology in Wasilla, AK
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
Specialties & Licenses
Secondary Practice Locations 2
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)
Northern Neurology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Northern Neurology, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Wasilla, AK 99654
Wasilla, AK 99654
Wasilla, AK 99654
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Northern Neurology, LLC enrolled in Medicare?
Yes. Northern Neurology, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northern Neurology, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Northern Neurology, 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. The largest specialties are Nurse Practitioner (3) and Neurology (2). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.
# Northern Neurology, Llc · NPI 1306684980
Neurology organization in Wasilla, Alaska. Organization record, active in the CMS NPPES registry since July 17, 2024.
## Identity
- **NPI:** 1306684980 (Entity type: Organization)
- **Enumerated:** July 17, 2024
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **Organization subpart:** No
- **Authorized official:** Natasha Ditomaso, PRACTICE MANAGER
## Practice location
- **Address:** 3505 E MERIDIAN PARK LOOP STE 100, Wasilla, AK 99654-7242
- **Phone:** (907) 416-6594 · **Fax:** (800) 654-6250
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Neurology (2); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1306684980) · Data from the CMS NPPES public registry.