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ATLAS MEDICAL ALASKA LLC
NPI 1376213207
Internal Medicine in Wasilla, AK

Active since September 13, 2021
3831 E BLUE LUPINE DR STE C, WASILLA, AK 99654(907) 215-4846(907) 215-4847 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 30, 2024, Sep 13, 2022, Sep 13, 2021 (3 updates tracked since 2021).

About Atlas Medical Alaska Llc NPPES

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

ATLAS MEDICAL ALASKA LLC (NPI 1376213207) is a healthcare organization registered as an internal medicine in Wasilla, Alaska and active in the NPI registry since September 2021. The organization maintains a secondary practice location in Anchorage and lists Tyler Pace, Director, as its authorized official.

NPPES Registry Identity

NPI1376213207
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameATLAS MEDICAL ALASKA LLC
Location Address3831 E BLUE LUPINE DR STE CWasilla, AK 99654-8461
Mailing Address950 E Bogard Rd Ste 228Wasilla, AK 99654-7185 · (907) 215-4846 · Fax (907) 215-4847
Phone(907) 215-4846
Fax(907) 215-4847
Organization SubpartNo
Authorized OfficialTyler PaceDirector · (907) 215-4846
Enumeration DateSeptember 13, 2021
Last NPPES UpdateDecember 30, 20243 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1376213207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3831 E BLUE LUPINE DR STE C, Wasilla, AK 99654
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Secondary Practice Location 1

Location 13501 Denali St Ste 202Anchorage, AK 99503-4039 · Phone (907) 215-4846

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atlas Medical Alaska Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Atlas Medical Alaska LLC, 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 (8)

Elizabeth Hesse, NURSE PRACTITIONER
Nurse Practitioner
NPI 1952058364
3831 E BLUE LUPINE DR STE B1
Wasilla, AK 99654
(907) 312-7676
✔ PECOS✔ Accepts MedicareSame address
Terelle Sterling, PMHNP
Nurse Practitioner
NPI 1699638619
3831 E BLUE LUPINE DR STE C
Wasilla, AK 99654
(907) 215-4846
✔ PECOS✔ Accepts MedicareSame address
Nathan George, NP
Nurse Practitioner
NPI 1134638141
950 E BOGARD RD STE 228
Wasilla, AK 99654
(907) 376-8938
✔ PECOS✔ Accepts Medicare2.6 mi
Clinton Deaver, FNP-BC
Nurse Practitioner
NPI 1033937115
7010 E BOGARD RD
Wasilla, AK 99654
(907) 373-4732
✔ PECOS3.9 mi
Margaret Maixner, ANP
Nurse Practitioner
NPI 1467824359
7593 LARRY'S LANE
Big Lake, AK 99652
(919) 452-1650
✔ PECOS✔ Accepts Medicare15 mi
Shannon Yoder, ANP
Nurse Practitioner
NPI 1770887101
3801 LAKE OTIS PKWY STE 300
Anchorage, AK 99508
(907) 562-2277
✔ PECOS✔ Accepts Medicare31 mi
Brandie Banks, NP
Nurse Practitioner
NPI 1588286850
9115 WASHBURN ST UNIT C
Anchorage, AK 99502
(907) 215-1611
✔ PECOS✔ Accepts Medicare36 mi
Shane Mozingo
Nurse Practitioner
NPI 1295347474
2841 N 920 E
North Logan, UT 84341
(435) 512-1066
✔ PECOS✔ Accepts Medicare2,066 mi

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 Atlas Medical Alaska LLC's NPI number?

The NPI number for Atlas Medical Alaska LLC is 1376213207. It was assigned to this organization in the NPPES registry on September 13, 2021.

Where is Atlas Medical Alaska LLC located?

Atlas Medical Alaska LLC is located at 3831 E Blue Lupine Dr Ste C, Wasilla, AK 99654. The listed phone number is (907) 215-4846.

What is Atlas Medical Alaska LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Atlas Medical Alaska LLC enrolled in Medicare?

Yes. Atlas Medical Alaska LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlas Medical Alaska LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Atlas Medical Alaska 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. 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.

What insurance does Atlas Medical Alaska LLC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Atlas Medical Alaska 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 Atlas Medical Alaska LLC was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.