ODYSSEY FAMILY PRACTICE
NPI 1780142042
Family Medicine in Kenai, AK
About Odyssey Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ODYSSEY FAMILY PRACTICE (NPI 1780142042) is a healthcare organization registered as a family medicine in Kenai, Alaska and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through March 3, 2027 and lists Jared Lee Wallace, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
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 02D2162874
Odyssey Family Practice, LLC · Kenai, 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 Odyssey Family Practice's NPI number?
The NPI number for Odyssey Family Practice is 1780142042. It was assigned to this organization in the NPPES registry on March 6, 2019.
Where is Odyssey Family Practice located?
Odyssey Family Practice is located at 11595 Kenai Spur Highway, Kenai, AK 99611. The listed phone number is (907) 313-4569.
What is Odyssey Family Practice's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does Odyssey Family Practice hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 02D2162874) is associated with this NPI, valid through March 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Odyssey Family Practice accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Odyssey Family Practice 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 Odyssey Family Practice was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
