SOUTHCENTRAL FOUNDATION
NPI 1386680056
Clinic/Center - Multi-Specialty in Wasilla, AK

Active since June 21, 2006
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654(907) 631-7800 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2026, Sep 1, 2023, May 9, 2022 and 2 more (5 updates tracked since 2016).

About Southcentral Foundation NPPES

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

SOUTHCENTRAL FOUNDATION (NPI 1386680056), doing business as Tribal/hpg- Benteh Nuutah Primary Care Center (bnpcc), is a healthcare organization registered as a multi-specialty in Wasilla, Alaska and active in the NPI registry since June 2006. The organization lists Ronald Lee Olson, Executive Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1386680056
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address1001 S KNIK GOOSE BAY RDWasilla, AK 99654-8083
Mailing AddressPo Box 35198Seattle, WA 98124-5198
Organization SubpartYes
Authorized OfficialRonald Lee OlsonExecutive Vice President Finance · (907) 729-4939
Enumeration DateJune 21, 2006
Last NPPES UpdateJune 5, 20265 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1386680056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in AK · 20467
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License 20467 (AK)
1001 S KNIK GOOSE BAY RD, Wasilla, AK 99654

Other Names 2

Doing Business AsTribal/hpg- Benteh Nuutah Primary Care Center (bnpcc)
Doing Business AsTribal/hpg- Valley Native Primary Care Center

Other Identifiers 2

Medicaid1020925AK
Medicaid1000873AK

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)

Southcentral Foundation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

457

Medicare enrollment records show 457 clinicians reassign Medicare billing to Southcentral Foundation, which bills Medicare for the services they deliver. Of these, 48 practice at this address and 58 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Nurse Practitioner95
Mental Health Counselor50
Family Practice45
Pediatric Medicine42
Clinical Social Worker34
Psychiatry29
Obstetrics/Gynecology28
Physical Therapist in Private Practice28
16 other specialties106

Nearest to this location (20)

See all 457
Clinical Social Worker
NPI 1245939354
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 729-3300
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1417518143
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
✔ PECOSSame address
Family Practice
NPI 1043280449
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1245285964
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1598002206
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 297-8881
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1386008340
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1861066573
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7342
✔ PECOSSame address
Optometry
NPI 1497317168
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7640
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1295112159
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 729-3300
✔ PECOSSame address
Nurse Practitioner
NPI 1588141741
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1023944865
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
Same address
Psychiatry
NPI 1942296694
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1154947570
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
✔ PECOSSame address
Registered Dietitian or Nutrition Professional
NPI 1356964662
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
Same address
Optometry
NPI 1548693831
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1346322500
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
✔ PECOSSame address
Osteopathic Manipulative Medicine
NPI 1326298175
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7803
✔ PECOS✔ Accepts MedicareSame address
Chiropractic
NPI 1881084754
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7630
✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1679029953
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1104997881
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 729-7280
✔ Accepts MedicareSame address
See all 457 clinicians

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 Southcentral Foundation's NPI number?

The NPI number for Southcentral Foundation is 1386680056. It was assigned to this organization in the NPPES registry on June 21, 2006. The provider is doing business as Tribal/HPG- Benteh Nuutah Primary Care Center (BNPCC) and Tribal/HPG- Valley Native Primary Care Center.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 1001 S Knik Goose Bay Rd, Wasilla, AK 99654. The listed phone number is (907) 631-7800.

What is Southcentral Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Southcentral Foundation enrolled in Medicare?

Yes. Southcentral Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southcentral Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 457 clinicians in 24 Medicare specialties reassign their Medicare billing to Southcentral Foundation. 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 (95), Mental Health Counselor (50) and Family Practice (45). Of these, 48 practice at this address and 58 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southcentral Foundation accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Southcentral Foundation 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 Southcentral Foundation was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.