MAT SU URGENT CARE - PALMER
NPI 1518472984
Clinic/Center - Urgent Care in Palmer, AK
About Mat Su Urgent Care - Palmer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAT SU URGENT CARE - PALMER (NPI 1518472984) is a healthcare organization registered as an urgent care in Palmer, Alaska and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists Jennifer L Jackson, Senior Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mat Su Urgent Care - Palmer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
45Medicare enrollment records show 45 clinicians reassign Medicare billing to Mat Su Urgent Care - Palmer, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 45Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 02D2126621
Mat-Su Urgent Care Palmer · Palmer, AKFrequently 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 Mat-Su Valley III LLC's NPI number?
The NPI number for Mat-Su Valley III LLC is 1518472984. It was assigned to this organization in the NPPES registry on December 7, 2017. The provider is doing business as Mat Su Urgent Care - Palmer.
Where is Mat-Su Valley III LLC located?
Mat-Su Valley III LLC is located at 209 W Evergreen Ave, Palmer, AK 99645. The listed phone number is (907) 861-1400.
What is Mat-Su Valley III LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Mat-Su Valley III LLC enrolled in Medicare?
Yes. Mat-Su Valley III LLC is registered in the Medicare PECOS enrollment system.
When is Mat-Su Valley III LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alaska, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mat-Su Valley III LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 10 Medicare specialties reassign their Medicare billing to Mat-Su Valley III 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 (14), Interventional Cardiology (10) and Obstetrics/Gynecology (6). Of these, 3 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mat-Su Valley III LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 02D2126621) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mat-Su Valley III LLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Mat-Su Valley III 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 Mat-Su Valley III LLC was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Mat Su Urgent Care - Palmer · NPI 1518472984
Urgent Care organization in Palmer, Alaska. Organization record, active in the CMS NPPES registry since December 7, 2017.
## Identity
- **NPI:** 1518472984 (Entity type: Organization)
- **Enumerated:** December 7, 2017
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Legal business name:** Mat-Su Valley Iii Llc
- **Organization subpart:** No
- **Authorized official:** Jennifer Jackson, SENIOR DIRECTOR
## Practice location
- **Address:** 209 W EVERGREEN AVE, Palmer, AK 99645-6952
- **Phone:** (907) 861-1400 · **Fax:** (907) 861-1405
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Alaska, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 45 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (14), Interventional Cardiology (10), Obstetrics/Gynecology (6); 3 practice at this address and 14 within 10 miles; [full list](https://npiprofile.com/npi/1518472984/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 15, 2021
- **Other identifiers:** Medicaid PENDING (AK)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1518472984) · Data from the CMS NPPES public registry.