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CENTRAL PENINSULA FAMILY PRACTICE
NPI 1770723967
General Acute Care Hospital - Rural in Kenai, AK

Active since February 27, 2009CLIA 02D1005759 · Waiver
506 LAKE ST, KENAI, AK 99611(907) 714-4030(907) 335-0064 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 7, 2020, Jan 12, 2017 (2 updates tracked since 2017).

About Central Peninsula Family Practice NPPES

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

CENTRAL PENINSULA FAMILY PRACTICE (NPI 1770723967) is a healthcare organization registered as a rural in Kenai, Alaska and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Richard Davis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770723967
Entity TypeOrganization
Primary Taxonomy282NR1301X
Legal Business NameCENTRAL PENINSULA GENERAL HOSPITAL INC
Location Address506 LAKE STKenai, AK 99611-6937
Mailing Address506 Lake StKenai, AK 99611-6937 · (907) 714-4030 · Fax (907) 335-0064
Phone(907) 714-4030
Fax(907) 335-0064
Organization SubpartNo
Authorized OfficialRichard DavisCeo · (907) 714-4723
Enumeration DateFebruary 27, 2009
Last NPPES UpdateDecember 7, 20202 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
✔ NPI 1770723967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral Acute Care Hospital · RuralHospitals
Taxonomy Code282NR1301X
License✔ Licensed in AK · 926294
Also ListedPhysician AssistantTaxonomy 363A00000X · License 926294 (AK)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 926294 (AK)
506 LAKE ST, Kenai, AK 99611
Open in Google Maps ↗

Other Names 1

Doing Business AsCentral Peninsula Family Practice

Other Identifiers 2

Other0004AK · Tricare
Other155AK · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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)

Central Peninsula Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

129

Medicare enrollment records show 129 clinicians reassign Medicare billing to Central Peninsula Family Practice, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 88 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 25

Emergency Medicine20
Nurse Practitioner20
Certified Registered Nurse Anesthetist (CRNA)10
Internal Medicine10
Orthopedic Surgery10
Neurology8
Family Practice7
Anesthesiology6
17 other specialties38

Nearest to this location (20)

See all 129
Christine Babcock, A.N.P.
Nurse Practitioner
NPI 1013902758
506 LAKE ST
Kenai, AK 99611
(907) 714-4025
✔ PECOS✔ Accepts MedicareSame address
James Bauman, DO
Family Practice
NPI 1003495961
506 LAKE ST
Kenai, AK 99611
(907) 714-4111
✔ PECOS✔ Accepts MedicareSame address
Rachelle Blanc, DO
Family Practice
NPI 1972064145
506 LAKE ST
Kenai, AK 99611
(907) 714-4025
✔ PECOS✔ Accepts MedicareSame address
Heather Hays, FNP
Nurse Practitioner
NPI 1407744949
506 LAKE ST
Kenai, AK 99611
(907) 714-4404
✔ PECOS✔ Accepts MedicareSame address
Michael Visick, MD
Pediatric Medicine
NPI 1225048648
506 LAKE ST
Kenai, AK 99611
(907) 714-4111
✔ PECOSSame address
Jefferson Wasson, DO
Family Practice
NPI 1043771207
506 LAKE ST
Kenai, AK 99611
(907) 714-4025
✔ PECOS✔ Accepts MedicareSame address
Sean Costello, MD
Psychiatry
NPI 1942882774
291 N FIREWEED ST
Soldotna, AK 99669
(907) 714-5950
✔ PECOS✔ Accepts Medicare7.1 mi
Guy Salazar, MS
Clinical Psychologist
NPI 1861221202
291 N FIREWEED ST
Soldotna, AK 99669
(907) 714-5950
✔ PECOS✔ Accepts Medicare7.1 mi
Kristin Eastman, MD
Dermatology
NPI 1255693578
35743 KENAI SPUR HWY STE A
Soldotna, AK 99669
(907) 260-4468
✔ PECOS✔ Accepts Medicare7.1 mi
Nissa Kisler, FNP-C
Nurse Practitioner
NPI 1457837486
247 N FIREWEED ST
Soldotna, AK 99669
(907) 714-5730
✔ PECOS✔ Accepts Medicare7.1 mi
Erik Berger, M.D.
Internal Medicine
NPI 1003120502
247 N FIREWEED ST STE A
Soldotna, AK 99669
(907) 262-8597
✔ PECOS✔ Accepts Medicare7.1 mi
Peter Anderson, M.D.
Emergency Medicine
NPI 1700866126
250 HOSPITAL PL
Soldotna, AK 99669
(907) 714-4444
✔ PECOS✔ Accepts Medicare7.2 mi
Leslie Bonnet, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1013379700
250 HOSPITAL PL
Soldotna, AK 99669
(907) 714-4529
✔ Accepts Medicare7.2 mi
Darlene Brown, DO
Anesthesiology
NPI 1992787360
250 HOSPITAL PL
Soldotna, AK 99669
(907) 714-4529
✔ PECOS✔ Accepts Medicare7.2 mi
Robert Cadoff, M.D.
Urology
NPI 1821086927
250 HOSPITAL PL
Soldotna, AK 99669
(907) 714-5325
✔ PECOS✔ Accepts Medicare7.2 mi
Michael Clarke, M.D.
Pathology
NPI 1114248879
250 HOSPITAL PL
Soldotna, AK 99669
(907) 714-4529
✔ PECOS✔ Accepts Medicare7.2 mi
Kelly Mead
Orthopedic Surgery
NPI 1982135539
250 HOSPITAL PL
Soldotna, AK 99669
(907) 714-4404
✔ PECOS✔ Accepts Medicare7.2 mi
Naomi Arenson, MD
Neurology
NPI 1033102546
240 HOSPITAL PL STE 105
Soldotna, AK 99669
(907) 714-4090
✔ PECOS✔ Accepts Medicare7.2 mi
Ian Burtenshaw, MD
Podiatry
NPI 1326301870
240 HOSPITAL PL STE 103
Soldotna, AK 99669
(907) 714-5312
✔ PECOS✔ Accepts Medicare7.2 mi
David Eilender, MD
Hematology/Oncology
NPI 1700823705
240 HOSPITAL PL
Soldotna, AK 99669
(907) 714-5611
✔ PECOS✔ Accepts Medicare7.2 mi
See all 129 clinicians

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 02D1005759

Central Peninsula Family Practice-Kenai · Kenai, AK
Active · expires Sep 30, 2027
CLIA Number02D1005759
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorChristine Babcock
Laboratory Phone(907) 714-4025
Laboratory LocationCentral Peninsula Family Practice-Kenai506 Lake Street, Kenai, AK 99611
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Central Peninsula General Hospital Inc's NPI number?

The NPI number for Central Peninsula General Hospital Inc is 1770723967. It was assigned to this organization in the NPPES registry on February 27, 2009. The provider is doing business as Central Peninsula Family Practice.

Where is Central Peninsula General Hospital Inc located?

Central Peninsula General Hospital Inc is located at 506 Lake St, Kenai, AK 99611. The listed phone number is (907) 714-4030.

What is Central Peninsula General Hospital Inc's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Rural, with taxonomy code 282NR1301X.

Is Central Peninsula General Hospital Inc enrolled in Medicare?

Yes. Central Peninsula General Hospital Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Peninsula General Hospital Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 129 clinicians in 25 Medicare specialties reassign their Medicare billing to Central Peninsula General 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 Emergency Medicine (20), Nurse Practitioner (20) and Certified Registered Nurse Anesthetist (CRNA) (10). Of these, 6 practice at this address and 88 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Central Peninsula General Hospital Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D1005759) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Central Peninsula General Hospital Inc accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Central Peninsula General 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 Central Peninsula General Hospital Inc was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.