NINILCHIK VILLAGE
NPI 1609093723
Clinic/Center - Community Health in Ninilchik, AK
About Ninilchik Village NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NINILCHIK VILLAGE (NPI 1609093723), doing business as Ntc Community Clinic, is a healthcare organization registered as a community health in Ninilchik, Alaska and active in the NPI registry since April 2007. The organization lists Ivan Zane Encelewski, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
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)
Ninilchik Village is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 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
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Ninilchik Village, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (11)
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 Ninilchik Village's NPI number?
The NPI number for Ninilchik Village is 1609093723. It was assigned to this organization in the NPPES registry on April 19, 2007. The provider is doing business as NTC Community Clinic. The provider is also known as Ninilchik Community Clinic.
Where is Ninilchik Village located?
Ninilchik Village is located at 15765 Kingsley Road, Ninilchik, AK 99639. The listed phone number is (907) 567-3970.
What is Ninilchik Village's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.
Is Ninilchik Village enrolled in Medicare?
Yes. Ninilchik Village is registered in the Medicare PECOS enrollment system.
When is Ninilchik Village'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 December 31, 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 Ninilchik Village?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Ninilchik Village. 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 (6), Family Practice (4) and Mental Health Counselor (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ninilchik Village accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Ninilchik Village 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 Ninilchik Village was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Ninilchik Village · NPI 1609093723
Community Health organization in Ninilchik, Alaska. Organization record, active in the CMS NPPES registry since April 19, 2007.
## Identity
- **NPI:** 1609093723 (Entity type: Organization)
- **Enumerated:** April 19, 2007
- **Primary specialty:** Clinic/Center - Community Health · taxonomy 261QC1500X
- **Also known as:** NTC Community Clinic (Doing Business As); Ninilchik Community Clinic (Other Name)
- **Organization subpart:** No
- **Authorized official:** Ivan Encelewski, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 15765 KINGSLEY ROAD, Ninilchik, AK 99639-9759
- **Phone:** (907) 567-3970 · **Fax:** (907) 567-3948
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Alaska, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (4), Mental Health Counselor (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2025
- **Other identifiers:** Medicaid CL 2699 (AK)
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Source: [NPI Profile](https://npiprofile.com/npi/1609093723) · Data from the CMS NPPES public registry.