KIC TRIBAL HEALTH CLINIC
NPI 1821120486
Clinic/Center - Primary Care in Ketchikan, AK
About Kic Tribal Health Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIC TRIBAL HEALTH CLINIC (NPI 1821120486) is a healthcare organization registered as a primary care in Ketchikan, Alaska and active in the NPI registry since March 2007. The organization lists Wendy Ross, Rcm, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Identifiers 1
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)
Kic Tribal Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
33Medicare enrollment records show 33 clinicians reassign Medicare billing to Kic Tribal Health Clinic, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 33Klawock, AK 99925
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 Indian Corporation's NPI number?
The NPI number for Ketchikan Indian Corporation is 1821120486. It was assigned to this organization in the NPPES registry on March 9, 2007. The provider is doing business as Kic Tribal Health Clinic.
Where is Ketchikan Indian Corporation located?
Ketchikan Indian Corporation is located at 2960 Tongass Ave Business Office, Ketchikan, AK 99901. The listed phone number is (907) 228-9200.
What is Ketchikan Indian Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Ketchikan Indian Corporation enrolled in Medicare?
Yes. Ketchikan Indian Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ketchikan Indian Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 8 Medicare specialties reassign their Medicare billing to Ketchikan Indian Corporation. 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 (19), Family Practice (6) and Internal Medicine (3). Of these, 5 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ketchikan Indian Corporation accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Ketchikan Indian Corporation 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 Indian Corporation was last updated on April 28, 2021. 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.
# Kic Tribal Health Clinic · NPI 1821120486
Primary Care organization in Ketchikan, Alaska. Organization record, active in the CMS NPPES registry since March 9, 2007.
## Identity
- **NPI:** 1821120486 (Entity type: Organization)
- **Enumerated:** March 9, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Ketchikan Indian Corporation
- **Organization subpart:** No
- **Authorized official:** Wendy Ross, RCM
## Practice location
- **Address:** 2960 TONGASS AVE, BUSINESS OFFICE, Ketchikan, AK 99901-5742
- **Phone:** (907) 228-9200 · **Fax:** (800) 887-8796
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 33 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (19), Family Practice (6), Internal Medicine (3); 5 practice at this address and 11 within 10 miles; [full list](https://npiprofile.com/npi/1821120486/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2021
- **Other identifiers:** Medicaid CL2696 (AK)
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Source: [NPI Profile](https://npiprofile.com/npi/1821120486) · Data from the CMS NPPES public registry.