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ADVANCED DERMATOLOGY OF ALASKA LLC
NPI 1760356208
Dermatology in Wasilla, AK

Active since September 29, 2025CLIA Certified · 2 labs
3066 E MERIDIAN PARK LOOP, WASILLA, AK 99654(907) 357-2332 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 25, 2026, Dec 12, 2025 (2 updates tracked since 2025).

About Advanced Dermatology Of Alaska Llc NPPES

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

ADVANCED DERMATOLOGY OF ALASKA LLC (NPI 1760356208) is a healthcare organization registered as a dermatology in Wasilla, Alaska and active in the NPI registry since September 2025. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Anchorage, and lists Blake Galler, Owner, as its authorized official.

NPPES Registry Identity

NPI1760356208
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY OF ALASKA LLC
Location Address3066 E MERIDIAN PARK LOOPWasilla, AK 99654-7254
Mailing Address1100 E Dimond Blvd Ste 103Anchorage, AK 99515-2001 · (907) 232-0251
Phone(907) 357-2332
Organization SubpartNo
Authorized OfficialBlake GallerOwner · (817) 903-5886
Enumeration DateSeptember 29, 2025
Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1760356208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X
3066 E MERIDIAN PARK LOOP, Wasilla, AK 99654
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Secondary Practice Location 1

Location 11100 E Dimond Blvd Ste 103Anchorage, AK 99515-2001 · Phone (907) 267-5890

Other Identifiers 1

Medicaid1762181AK

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

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.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)

Advanced Dermatology Of Alaska Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Advanced Dermatology Of Alaska LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Blake Galler, D.O.
Dermatology
NPI 1265705933
3066 E MERIDIAN PARK LOOP
Wasilla, AK 99654
(907) 357-9590
✔ PECOS✔ Accepts MedicareSame address
Auston Eckert
Dermatology
NPI 1396247367
9040 JACKSON AVE
Tacoma, WA 98431
(253) 968-1110
✔ PECOS1,448 mi
Alecia Folkes, DO
Dermatology
NPI 1811358633
17521 US HIGHWAY 441
Mount Dora, FL 32757
(813) 321-1786
✔ PECOS✔ Accepts Medicare3,764 mi
Andrew Dorizas, M.D.
Dermatology
NPI 1336506260
185 BANYAN BLVD FL 2
West Palm Beach, FL 33401
(305) 243-6704
✔ PECOS✔ Accepts Medicare3,939 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 Compliance 02D2326195

Advanced Dermatology Of Alaska, LLC · Anchorage, AK
Active · expires May 27, 2028
CLIA Number02D2326195
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorDr. Andrew S. Dorizas
Laboratory Phone(907) 357-2332
Laboratory LocationAdvanced Dermatology Of Alaska, LLC1100 E Dimond Blvd, Anchorage, AK 99515
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 02D2305883

Advanced Dermatology Of Alaska, LLC · Wasilla, AK
Active · expires Apr 30, 2027
CLIA Number02D2305883
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorDr. Andrew S. Dorizas
Laboratory Phone(907) 357-2332
Laboratory LocationAdvanced Dermatology Of Alaska, LLC3066 E Meridian Park Loop, Wasilla, AK 99654
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Advanced Dermatology Of Alaska LLC's NPI number?

The NPI number for Advanced Dermatology Of Alaska LLC is 1760356208. It was assigned to this organization in the NPPES registry on September 29, 2025.

Where is Advanced Dermatology Of Alaska LLC located?

Advanced Dermatology Of Alaska LLC is located at 3066 E Meridian Park Loop, Wasilla, AK 99654. The listed phone number is (907) 357-2332.

What is Advanced Dermatology Of Alaska LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Advanced Dermatology Of Alaska LLC enrolled in Medicare?

Yes. Advanced Dermatology Of Alaska LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Dermatology Of Alaska LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Dermatology, reassign their Medicare billing to Advanced Dermatology Of Alaska 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Dermatology Of Alaska LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Advanced Dermatology Of Alaska LLC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Advanced Dermatology Of Alaska 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 Advanced Dermatology Of Alaska LLC was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.