GOLDEN HEART MEDICAL, LLC
NPI 1770439549
Family Medicine in Fairbanks, AK
About Golden Heart Medical, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOLDEN HEART MEDICAL, LLC (NPI 1770439549) is a healthcare organization registered as a family medicine in Fairbanks, Alaska and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through July 7, 2028 and lists Wendy P Brophy, Clinical Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Golden Heart Medical, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Golden Heart Medical, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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
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 02D2346872
Golden Heart Medical, LLC · Fairbanks, AKFrequently 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 Golden Heart Medical, LLC's NPI number?
The NPI number for Golden Heart Medical, LLC is 1770439549. It was assigned to this organization in the NPPES registry on March 5, 2026.
Where is Golden Heart Medical, LLC located?
Golden Heart Medical, LLC is located at 1626 30th Ave Suite 201, Fairbanks, AK 99701. The listed phone number is (678) 986-6371.
What is Golden Heart Medical, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Golden Heart Medical, LLC enrolled in Medicare?
Yes. Golden Heart Medical, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Golden Heart Medical, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Golden Heart Medical, 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.
Does Golden Heart Medical, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 02D2346872) is associated with this NPI, valid through July 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Golden Heart Medical, LLC accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Golden Heart Medical, 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 Golden Heart Medical, LLC was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Golden Heart Medical, Llc · NPI 1770439549
Family Medicine organization in Fairbanks, Alaska. Organization record, active in the CMS NPPES registry since March 5, 2026.
## Identity
- **NPI:** 1770439549 (Entity type: Organization)
- **Enumerated:** March 5, 2026
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Wendy Brophy, CLINICAL MANAGER
## Practice location
- **Address:** 1626 30TH AVE, SUITE 201, Fairbanks, AK 99701-5910
- **Phone:** (678) 986-6371
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 5, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1770439549) · Data from the CMS NPPES public registry.