SOUTHCENTRAL FOUNDATION
NPI 1457196685
Clinic/Center - Multi-Specialty in Wasilla, AK

Active since June 28, 2024
3505 E MERIDIAN PARK LOOP STE 220, WASILLA, AK 99654(907) 729-8901 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2025, Jun 28, 2024 (2 updates tracked since 2024).

About Southcentral Foundation NPPES

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

SOUTHCENTRAL FOUNDATION (NPI 1457196685), doing business as Alaska Subspecialty Pediatric Network (aspn), is a healthcare organization registered as a multi-specialty in Wasilla, Alaska and active in the NPI registry since June 2024. The organization maintains 3 additional practice locations and lists Ronald Lee Olson, Executive Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1457196685
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address3505 E MERIDIAN PARK LOOP STE 220Wasilla, AK 99654-7242
Mailing AddressPo Box 35198Seattle, WA 98124-5198
Organization SubpartYes
Authorized OfficialRonald Lee OlsonExecutive Vice President Finance · (701) 729-4939
Enumeration DateJune 28, 2024
Last NPPES UpdateSeptember 9, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1457196685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
3505 E MERIDIAN PARK LOOP STE 220, Wasilla, AK 99654

Other Names 1

Doing Business AsAlaska Subspecialty Pediatric Network (aspn)

Secondary Practice Locations 3

Location 14320 Diplomacy Dr Ste 2300Anchorage, AK 99508-5925 · Phone (907) 729-9989
Location 21717 W Cowles StFairbanks, AK 99701-3975 · Phone (907) 729-9989
Location 31659 Cowles St, Ste 338Fairbanks, AK 99701-5924 · Phone (907) 729-8901

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, 1 practice at this address and 59 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
Qualified Speech Language Pathologist
NPI 1871986745
3505 EAST MERIDIAN PARK LOOP, STE. 200
Wasilla, AK 99654
(907) 232-6322
Same address
Addiction Medicine
NPI 1053418921
3223 E PALMER WASILLA HWY STE 4
Wasilla, AK 99654
(907) 631-6300
✔ PECOS0.6 mi
Mental Health Counselor
NPI 1801137989
3223 E PALMER WASILLA HWY STE 4
Wasilla, AK 99654
(907) 631-6300
✔ PECOS0.6 mi
Clinical Social Worker
NPI 1134831357
3223 E PALMER WASILLA HWY STE 4
Wasilla, AK 99654
(907) 631-6300
✔ PECOS✔ Accepts Medicare0.6 mi
Physical Therapist in Private Practice
NPI 1083636088
3765 E BLUE LUPINE DR STE E
Wasilla, AK 99654
(907) 373-9462
✔ Accepts Medicare1.5 mi
Physical Therapist in Private Practice
NPI 1346514718
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 729-3300
✔ Accepts Medicare3.0 mi
Clinical Social Worker
NPI 1245939354
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 729-3300
✔ PECOS✔ Accepts Medicare3.0 mi
Clinical Social Worker
NPI 1417518143
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
✔ PECOS3.0 mi
Family Practice
NPI 1043280449
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
✔ PECOS✔ Accepts Medicare3.0 mi
Family Practice
NPI 1245285964
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
✔ PECOS✔ Accepts Medicare3.0 mi
Mental Health Counselor
NPI 1598002206
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 297-8881
✔ PECOS✔ Accepts Medicare3.0 mi
Nurse Practitioner
NPI 1386008340
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
✔ PECOS✔ Accepts Medicare3.0 mi
Mental Health Counselor
NPI 1861066573
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7342
✔ PECOS3.0 mi
Optometry
NPI 1497317168
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7640
✔ PECOS✔ Accepts Medicare3.0 mi
Pediatric Medicine
NPI 1295112159
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 729-3300
✔ PECOS3.0 mi
Registered Dietitian or Nutrition Professional
NPI 1023944865
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
3.0 mi
Psychiatry
NPI 1942296694
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
✔ PECOS3.0 mi
Certified Nurse Midwife (CNM)
NPI 1154947570
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
✔ PECOS3.0 mi
Osteopathic Manipulative Medicine
NPI 1326298175
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7803
✔ PECOS✔ Accepts Medicare3.0 mi
Chiropractic
NPI 1881084754
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7630
✔ Accepts Medicare3.0 mi
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 1457196685. It was assigned to this organization in the NPPES registry on June 28, 2024. The provider is doing business as Alaska Subspecialty Pediatric Network (ASPN).

Where is Southcentral Foundation located?

Southcentral Foundation is located at 3505 E Meridian Park Loop Ste 220, Wasilla, AK 99654. The listed phone number is (907) 729-8901.

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, 1 practice at this address and 59 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 September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.