TATITLEK CLINIC
NPI 1801067723
Clinic/Center - Community Health in Tatitlek, AK

Active since March 19, 2008
505 COPPER MOUNTAIN STREET, TATITLEK, AK 99677(907) 325-2235(907) 325-2350 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 22, 2022, Dec 14, 2021, Aug 10, 2016 (3 updates tracked since 2016).

About Tatitlek Clinic NPPES

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

TATITLEK CLINIC (NPI 1801067723) is a healthcare organization registered as a community health in Tatitlek, Alaska and active in the NPI registry since March 2008. The organization lists Kelley Baker, Health Services Division Director, as its authorized official.

NPPES Registry Identity

NPI1801067723
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameCHUGACHMIUT
Location Address505 COPPER MOUNTAIN STREETTatitlek, AK 99677
Mailing Address1840 Bragaw St Ste 110Anchorage, AK 99508-3463 · (907) 562-4155 · Fax (907) 563-2891
Fax(907) 325-2350
Organization SubpartNo
Authorized OfficialKelley BakerHealth Services Division Director · (907) 562-4155
Enumeration DateMarch 19, 2008
Last NPPES UpdateSeptember 22, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1801067723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
505 COPPER MOUNTAIN STREET, Tatitlek, AK 99677

Other Names 1

Doing Business AsTatitlek Clinic

Other Identifiers 1

Medicaid1021383AK

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tatitlek Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateAlaskaEnrollment IDO20040323001690Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Tatitlek Clinic, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner8
Family Practice1
Registered Dietitian or Nutrition Professional1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1700214749
PO BOX 722
Whittier, AK 99693
(907) 727-6696
✔ PECOS✔ Accepts Medicare68 mi
Nurse Practitioner
NPI 1447654405
31285 WILMA AVENUE
Seward, AK 99664
(907) 362-4341
✔ PECOS✔ Accepts Medicare107 mi
Registered Dietitian or Nutrition Professional
NPI 1528588738
1840 BRAGAW ST STE 110
Anchorage, AK 99508
(907) 224-3076
✔ Accepts Medicare107 mi
Nurse Practitioner
NPI 1184047094
417 1ST AVE
Seward, AK 99664
(907) 224-2273
✔ PECOS✔ Accepts Medicare109 mi
Nurse Practitioner
NPI 1245353135
201 THIRD AVE
Seward, AK 99664
(907) 224-4924
✔ PECOS✔ Accepts Medicare109 mi
Family Practice
NPI 1760681761
4951 BUSINESS PARK BLVD
Anchorage, AK 99503
(907) 743-7200
✔ PECOS110 mi
Nurse Practitioner
NPI 1881063295
MAQIQ STREET
Nanwalek, AK 99603
(907) 281-2250
✔ PECOS✔ Accepts Medicare210 mi
Nurse Practitioner
NPI 1396170510
CORNER OF ROUTE N12 AND N7
Fort Defiance, AZ 86504
(928) 729-8000
✔ PECOS✔ Accepts Medicare2,397 mi
Nurse Practitioner
NPI 1316486293
450 E SIGLER AVE STE A
Memphis, MO 63555
(660) 465-2820
✔ PECOS✔ Accepts Medicare2,671 mi
Nurse Practitioner
NPI 1740678556
1111 GALLAGHER DR
Sherman, TX 75090
(903) 771-2846
✔ PECOS✔ Accepts Medicare2,900 mi

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 Chugachmiut's NPI number?

The NPI number for Chugachmiut is 1801067723. It was assigned to this organization in the NPPES registry on March 19, 2008. The provider is doing business as Tatitlek Clinic.

Where is Chugachmiut located?

Chugachmiut is located at 505 Copper Mountain Street, Tatitlek, AK 99677. The listed phone number is (907) 325-2235.

What is Chugachmiut's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Is Chugachmiut enrolled in Medicare?

Yes. Chugachmiut is registered in the Medicare PECOS enrollment system.

When is Chugachmiut's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alaska, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Chugachmiut?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Chugachmiut. 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 Nurse Practitioner (8), Family Practice (1) and Registered Dietitian or Nutrition Professional (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Chugachmiut was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.