PIVOTAL CARE PARTNERSHIP LLC
NPI 1811596026
Clinic/Center in Anchorage, AK
About Pivotal Care Partnership Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PIVOTAL CARE PARTNERSHIP LLC (NPI 1811596026) is a healthcare organization registered as a clinic/center in Anchorage, Alaska and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through May 6, 2028 and lists Bruce Havelock, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Pivotal Care Partnership Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Pivotal Care Partnership LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 02D2259552
Pivotal Care Partnership · Anchorage, 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 Pivotal Care Partnership LLC's NPI number?
The NPI number for Pivotal Care Partnership LLC is 1811596026. It was assigned to this organization in the NPPES registry on October 19, 2020.
Where is Pivotal Care Partnership LLC located?
Pivotal Care Partnership LLC is located at 2925 Debarr Rd Ste 199, Anchorage, AK 99508. The listed phone number is (907) 632-5057.
What is Pivotal Care Partnership LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Pivotal Care Partnership LLC enrolled in Medicare?
Yes. Pivotal Care Partnership LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pivotal Care Partnership LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Pivotal Care Partnership 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pivotal Care Partnership LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 02D2259552) is associated with this NPI, valid through May 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pivotal Care Partnership LLC accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Pivotal Care Partnership 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 Pivotal Care Partnership LLC was last updated on December 30, 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.
# Pivotal Care Partnership Llc · NPI 1811596026
Clinic/Center organization in Anchorage, Alaska. Organization record, active in the CMS NPPES registry since October 19, 2020.
## Identity
- **NPI:** 1811596026 (Entity type: Organization)
- **Enumerated:** October 19, 2020
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Bruce Havelock, DIRECTOR
## Practice location
- **Address:** 2925 DEBARR RD STE 199, Anchorage, AK 99508-2959
- **Phone:** (907) 632-5057
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 30, 2020
- **Other identifiers:** Medicaid 1588968945 (AK)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1811596026) · Data from the CMS NPPES public registry.