PIVOTAL CARE PARTNERSHIP LLC
NPI 1811596026
Clinic/Center in Anchorage, AK

Active since October 19, 2020CLIA 02D2259552 · Waiver
2925 DEBARR RD STE 199, ANCHORAGE, AK 99508(907) 632-5057 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2020, Dec 2, 2020, Oct 19, 2020 (3 updates tracked since 2020).

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

NPI1811596026
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePIVOTAL CARE PARTNERSHIP LLC
Location Address2925 DEBARR RD STE 199Anchorage, AK 99508-2959
Mailing AddressPo Box 90812Anchorage, AK 99509-0812 · (907) 375-2025
Organization SubpartNo
Authorized OfficialBruce HavelockDirector · (907) 375-2025
Enumeration DateOctober 19, 2020
Last NPPES UpdateDecember 30, 20203 updates tracked since enumeration
NPPES CertifiedDecember 30, 2020
NPI 1811596026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2925 DEBARR RD STE 199, Anchorage, AK 99508

Other Identifiers 1

Medicaid1588968945AK

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 02D2259552

Pivotal Care Partnership · Anchorage, AK
Active · expires May 6, 2028
CLIA Number02D2259552
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2026
Certificate Expiration DateMay 6, 2028
Laboratory DirectorJe Dette A. Green
Laboratory Phone(907) 375-2025
Laboratory LocationPivotal Care Partnership1200 Airport Heights Dr, Ste 240, Anchorage, AK 99508
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2925 DEBARR RD STE 199
ANCHORAGE, AK 99508

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 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.

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.