SURGERY CENTER OF WASILLA, LLC
NPI 1649534843
Clinic/Center - Ambulatory Surgical in Wasilla, AK

Active since July 02, 2012CLIA 02D2048224 · Waiver
3190 E MERIDIAN PARK LOOP STE 111, WASILLA, AK 99654(907) 631-3578(907) 782-4561 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2026, Jan 23, 2026, May 16, 2018 (3 updates tracked since 2018).

About Surgery Center Of Wasilla, Llc NPPES

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

SURGERY CENTER OF WASILLA, LLC (NPI 1649534843) is a healthcare organization registered as an ambulatory surgical in Wasilla, Alaska and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through October 10, 2026 and lists Riley Orr, Coo, as its authorized official.

NPPES Registry Identity

NPI1649534843
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGERY CENTER OF WASILLA, LLC
Location Address3190 E MERIDIAN PARK LOOP STE 111Wasilla, AK 99654-7422
Mailing Address3190 E Meridian Park Loop Ste 111Wasilla, AK 99654-7422 · (907) 631-3578 · Fax (907) 782-4561
Fax(907) 782-4561
Organization SubpartNo
Authorized OfficialRiley OrrCoo · (615) 314-1406
Enumeration DateJuly 2, 2012
Last NPPES UpdateMay 6, 20263 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
NPI 1649534843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in AK · 976033
3190 E MERIDIAN PARK LOOP STE 111, Wasilla, AK 99654

Accepted Insurance

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 02D2048224

Surgery Center Of Wasilla · Wasilla, AK
Active · expires Oct 10, 2026
CLIA Number02D2048224
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 11, 2024
Certificate Expiration DateOctober 10, 2026
Laboratory DirectorDr. Benjamin Marvin
Laboratory Phone(907) 301-4409
Laboratory LocationSurgery Center Of Wasilla3190 E Meridian Park Loop, Suite 111, Wasilla, AK 99654
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 30

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
8,778 services53 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
482 services263 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
119 services119 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
104 services104 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
68 services67 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
58 services48 patients

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 Surgery Center Of Wasilla, LLC's NPI number?

The NPI number for Surgery Center Of Wasilla, LLC is 1649534843. It was assigned to this organization in the NPPES registry on July 2, 2012.

Where is Surgery Center Of Wasilla, LLC located?

Surgery Center Of Wasilla, LLC is located at 3190 E Meridian Park Loop Ste 111, Wasilla, AK 99654. The listed phone number is (907) 631-3578.

What is Surgery Center Of Wasilla, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Surgery Center Of Wasilla, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2048224) is associated with this NPI, valid through October 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surgery Center Of Wasilla, LLC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Surgery Center Of Wasilla, 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 Surgery Center Of Wasilla, LLC was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.