ALLIED CLINIC & WOUNDS LLC
NPI 1720807563
Nurse Practitioner - Family in Anchorage, AK
About Allied Clinic & Wounds Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALLIED CLINIC & WOUNDS LLC (NPI 1720807563) is a healthcare organization registered as a family in Anchorage, Alaska and active in the NPI registry since October 2024. The organization lists Stanley M Kidavayi, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Allied Clinic & Wounds Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Allied Clinic & Wounds LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 Allied Clinic & Wounds LLC's NPI number?
The NPI number for Allied Clinic & Wounds LLC is 1720807563. It was assigned to this organization in the NPPES registry on October 8, 2024.
Where is Allied Clinic & Wounds LLC located?
Allied Clinic & Wounds LLC is located at 1577 C St Ste 878616, Anchorage, AK 99501. The listed phone number is (702) 983-6674.
What is Allied Clinic & Wounds LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Allied Clinic & Wounds LLC enrolled in Medicare?
Yes. Allied Clinic & Wounds LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Allied Clinic & Wounds LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Allied Clinic & Wounds 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Allied Clinic & Wounds LLC was last updated on October 8, 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.
# Allied Clinic & Wounds Llc · NPI 1720807563
Family organization in Anchorage, Alaska. Organization record, active in the CMS NPPES registry since October 8, 2024.
## Identity
- **NPI:** 1720807563 (Entity type: Organization)
- **Enumerated:** October 8, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Stanley Kidavayi, CEO
## Practice location
- **Address:** 1577 C ST STE 878616, Anchorage, AK 99501-5127
- **Phone:** (702) 983-6674
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1720807563) · Data from the CMS NPPES public registry.