KETCHIKAN EMERGENCY PHYSICIANS, LLC
NPI 1801690854
Emergency Medicine in Ketchikan, AK
About Ketchikan Emergency Physicians, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KETCHIKAN EMERGENCY PHYSICIANS, LLC (NPI 1801690854) is a healthcare organization registered as an emergency medicine in Ketchikan, Alaska and active in the NPI registry since April 2025. The organization lists Kim Larsen, Vp, Credentialing, 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)
Ketchikan Emergency Physicians, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
26Medicare enrollment records show 26 clinicians reassign Medicare billing to Ketchikan Emergency Physicians, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 26Temecula, CA 92592
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 Ketchikan Emergency Physicians, LLC's NPI number?
The NPI number for Ketchikan Emergency Physicians, LLC is 1801690854. It was assigned to this organization in the NPPES registry on April 1, 2025.
Where is Ketchikan Emergency Physicians, LLC located?
Ketchikan Emergency Physicians, LLC is located at 3100 Tongass Ave, Ketchikan, AK 99901. The listed phone number is (907) 225-5171.
What is Ketchikan Emergency Physicians, LLC's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Ketchikan Emergency Physicians, LLC enrolled in Medicare?
Yes. Ketchikan Emergency Physicians, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ketchikan Emergency Physicians, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 3 Medicare specialties reassign their Medicare billing to Ketchikan Emergency Physicians, 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. The largest specialties are Emergency Medicine (24), Hospitalist (1) and Internal Medicine (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ketchikan Emergency Physicians, LLC accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Ketchikan Emergency Physicians, 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 Ketchikan Emergency Physicians, LLC was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ketchikan Emergency Physicians, Llc · NPI 1801690854
Emergency Medicine organization in Ketchikan, Alaska. Organization record, active in the CMS NPPES registry since April 1, 2025.
## Identity
- **NPI:** 1801690854 (Entity type: Organization)
- **Enumerated:** April 1, 2025
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Kim Larsen, VP, CREDENTIALING
## Practice location
- **Address:** 3100 TONGASS AVE, Ketchikan, AK 99901-5746
- **Phone:** (907) 225-5171
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 26 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (24), Hospitalist (1), Internal Medicine (1); 2 practice at this address; [full list](https://npiprofile.com/npi/1801690854/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1801690854) · Data from the CMS NPPES public registry.