SOUTH PENINSULA HOSPITAL, INC.
NPI 1679566269
General Acute Care Hospital - Critical Access in Homer, AK

Active since August 29, 2005
4300 BARTLETT STREET, HOMER, AK 99603(907) 235-8101(907) 235-0253 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About South Peninsula Hospital, Inc. NPPES

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

SOUTH PENINSULA HOSPITAL, INC. (NPI 1679566269) is a healthcare organization registered as a critical access in Homer, Alaska and active in the NPI registry since August 2005. The organization maintains 9 additional practice locations and lists Ryan Smith, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1679566269
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameSOUTH PENINSULA HOSPITAL, INC.
Location Address4300 BARTLETT STREETHomer, AK 99603-7005
Mailing Address4300 Bartlett StHomer, AK 99603-7005 · (907) 235-8101 · Fax (907) 235-0253
Fax(907) 235-0253
Organization SubpartNo
Authorized OfficialRyan SmithChief Executive Officer · (907) 235-0241
Enumeration DateAugust 29, 2005
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1679566269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Taxonomy Code282NC0060X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedClinic/Center · Critical Access HospitalTaxonomy 261QC0050X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
4300 BARTLETT STREET, Homer, AK 99603

Secondary Practice Locations 9

Location 14251 Bartlett StHomer, AK 99603-7006 · Phone (907) 235-0201
Location 23714 Greatland StHomer, AK 99603-7522 · Phone (907) 235-7202
Location 3263 W Fairview AveHomer, AK 99603-7032 · Phone (907) 435-3070
Location 44201 Bartlett St Ste 201Homer, AK 99603-7015 · Phone (907) 235-0310
Location 53726 Lake St Ste GHomer, AK 99603-7663 · Phone (907) 235-0370
Location 64300 Bartlett StHomer, AK 99603-7005 · Phone (907) 226-5630
Location 74201 Bartlett St Ste 202Homer, AK 99603-7015 · Phone (907) 235-0229
Location 8205 W Fairview AveHomer, AK 99603-7032 · Phone (907) 226-5600
Location 94136 Bartlett StHomer, AK 99603-7001 · Phone (907) 235-8586

Other Identifiers 13

Medicaid1020634AK
Medicaid1028527AK
Medicaid1005186AK
Medicaid1005654AK
Medicaid1582664AK
Medicaid1755753AK
Medicaid1005653AK
Medicaid1701931AK
Medicaid1687514AK
Medicaid1738615AK
Medicaid1582637AK
Medicaid1687518AK
Medicaid1756683AK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

South Peninsula Hospital, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

161

Medicare enrollment records show 161 clinicians reassign Medicare billing to South Peninsula Hospital, Inc., which bills Medicare for the services they deliver. Of these, 10 practice at this address and 38 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 28

Diagnostic Radiology22
Nurse Practitioner19
Family Practice16
Emergency Medicine14
Cardiovascular Disease (Cardiology)12
Certified Registered Nurse Anesthetist (CRNA)9
Hospitalist9
General Surgery7
20 other specialties53

Nearest to this location (20)

See all 161
Diagnostic Radiology
NPI 1417512005
4300 BARTLETT ST
Homer, AK 99603
(907) 435-3090
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1235793167
4300 BARTLETT ST
Homer, AK 99603
(907) 235-8101
✔ PECOSSame address
Diagnostic Radiology
NPI 1780764787
4300 BARTLETT ST
Homer, AK 99603
(907) 235-0363
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1801382536
4300 BARTLETT ST
Homer, AK 99603
(907) 226-5630
✔ PECOSSame address
Emergency Medicine
NPI 1255725727
4300 BARTLETT ST
Homer, AK 99603
(907) 235-8101
✔ PECOSSame address
Pediatric Medicine
NPI 1518595560
4300 BARTLETT ST
Homer, AK 99603
(907) 235-8101
✔ PECOSSame address
Nurse Practitioner
NPI 1578577292
4300 BARTLETT ST
Homer, AK 99603
(907) 235-3225
✔ PECOSSame address
Diagnostic Radiology
NPI 1609854173
4300 BARTLETT ST
Homer, AK 99603
(907) 235-0326
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1538104823
4300 BARTLETT ST
Homer, AK 99603
(907) 235-8101
✔ PECOSSame address
Family Practice
NPI 1417117086
4300 BARTLETT ST
Homer, AK 99603
(907) 235-8586
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124370523
4251 BARTLETT ST
Homer, AK 99603
(907) 235-7202
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1831389378
4251 BARTLETT STREET
Homer, AK 99603
(907) 235-7202
✔ PECOS✔ Accepts Medicare0.1 mi
Plastic and Reconstructive Surgery
NPI 1437648698
4251 HOHE ST
Homer, AK 99603
(907) 226-5600
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1437339454
4201 BARTLETT ST STE 201
Homer, AK 99603
(907) 235-0310
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1992711337
4136 BARTLETT ST HOMER MEDICAL CENTER / SPH
Homer, AK 99603
(907) 235-8586
✔ PECOS✔ Accepts Medicare0.2 mi
Mental Health Counselor
NPI 1518572387
4136 BARTLETT ST
Homer, AK 99603
(907) 235-7202
✔ PECOS✔ Accepts Medicare0.2 mi
Obstetrics/Gynecology
NPI 1922015098
4136 BARTLETT STREET
Homer, AK 99603
(907) 235-8586
✔ PECOS✔ Accepts Medicare0.2 mi
Certified Nurse Midwife (CNM)
NPI 1417999111
4136 BARTLETT ST HOMER MEDICAL CLINIC
Homer, AK 99603
(907) 235-8586
✔ PECOS0.2 mi
General Practice
NPI 1538426507
4136 BARTLETT ST
Homer, AK 99603
(907) 235-8586
✔ PECOS0.2 mi
Dermatology
NPI 1568027159
205 W FAIRVIEW AVE
Homer, AK 99603
(907) 226-5600
✔ PECOS0.3 mi
See all 161 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 South Peninsula Hospital, Inc.'s NPI number?

The NPI number for South Peninsula Hospital, Inc. is 1679566269. It was assigned to this organization in the NPPES registry on August 29, 2005.

Where is South Peninsula Hospital, Inc. located?

South Peninsula Hospital, Inc. is located at 4300 Bartlett Street, Homer, AK 99603. The listed phone number is (907) 235-8101.

What is South Peninsula Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is South Peninsula Hospital, Inc. enrolled in Medicare?

Yes. South Peninsula Hospital, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Peninsula Hospital, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 161 clinicians in 28 Medicare specialties reassign their Medicare billing to South Peninsula Hospital, Inc.. 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 Diagnostic Radiology (22), Nurse Practitioner (19) and Family Practice (16). Of these, 10 practice at this address and 38 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does South Peninsula Hospital, Inc. accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list South Peninsula Hospital, Inc. 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 South Peninsula Hospital, Inc. was last updated on June 22, 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.