ATLAS MEDICAL ACO LLC
NPI 1629807086
Clinic/Center in Wasilla, AK
About Atlas Medical Aco Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ATLAS MEDICAL ACO LLC (NPI 1629807086) is a healthcare organization registered as a clinic/center in Wasilla, Alaska and active in the NPI registry since August 2024. The organization lists Gregory Chad Mangum, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Aco Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Atlas Medical Aco LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 Aco LLC's NPI number?
The NPI number for Atlas Medical Aco LLC is 1629807086. It was assigned to this organization in the NPPES registry on August 1, 2024.
Where is Atlas Medical Aco LLC located?
Atlas Medical Aco LLC is located at 3831 E Blue Lupine Dr Ste C, Wasilla, AK 99654. The listed phone number is (907) 521-2368.
What is Atlas Medical Aco LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Atlas Medical Aco LLC enrolled in Medicare?
Yes. Atlas Medical Aco LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Atlas Medical Aco LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Atlas Medical Aco 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 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Atlas Medical Aco LLC was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Atlas Medical Aco Llc · NPI 1629807086
Clinic/Center organization in Wasilla, Alaska. Organization record, active in the CMS NPPES registry since August 1, 2024.
## Identity
- **NPI:** 1629807086 (Entity type: Organization)
- **Enumerated:** August 1, 2024
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** Yes (part of Atlas Medical Aco Llc)
- **Authorized official:** Gregory Mangum, OWNER
## Practice location
- **Address:** 3831 E BLUE LUPINE DR STE C, Wasilla, AK 99654-8461
- **Phone:** (907) 521-2368
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1629807086) · Data from the CMS NPPES public registry.