MEDICAL NETWORK OF ALASKA, LLC
NPI 1821796533
Orthopaedic Surgery in Eagle River, AK

Active since February 21, 2023CLIA 02D1099953 · Waiver
17025 SNOWMOBILE LN STE 102, EAGLE RIVER, AK 99577(907) 689-3145 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Medical Network Of Alaska, Llc NPPES

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

MEDICAL NETWORK OF ALASKA, LLC (NPI 1821796533), doing business as Alaska Fracture And Orthopedic Clinic, is a healthcare organization registered as an orthopaedic surgery in Eagle River, Alaska and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through January 18, 2028 and lists Jacquelyn Renee Blomker, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1821796533
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameMEDICAL NETWORK OF ALASKA, LLC
Location Address17025 SNOWMOBILE LN STE 102Eagle River, AK 99577-7044
Mailing Address3122 E Meridian Park LoopWasilla, AK 99654-7255 · (907) 864-4625 · Fax (907) 313-1540
Organization SubpartYes
Authorized OfficialJacquelyn Renee BlomkerDirector Of Revenue Cycle · (907) 357-9590
Enumeration DateFebruary 21, 2023
NPPES CertifiedFebruary 21, 2023
✔ NPI 1821796533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
17025 SNOWMOBILE LN STE 102, Eagle River, AK 99577

Other Names 1

Doing Business AsAlaska Fracture And Orthopedic Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medical Network Of Alaska, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

67

Medicare enrollment records show 67 clinicians reassign Medicare billing to Medical Network Of Alaska, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Family Practice16
Orthopedic Surgery11
Physical Therapist in Private Practice9
Nurse Practitioner6
Obstetrics/Gynecology4
Otolaryngology4
Certified Nurse Midwife (CNM)3
Dermatology3
7 other specialties11

Nearest to this location (20)

See all 67
Family Practice
NPI 1518958396
17025 SNOWMOBILE LN
Eagle River, AK 99577
(907) 694-9553
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1578911590
17101 SNOWMOBILE LN STE 102
Eagle River, AK 99577
(907) 694-7223
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1578912598
MEDAC 7860
Joint Base Elmendorf Richardson, AK 99505
(907) 384-3895
✔ PECOS✔ Accepts Medicare7.6 mi
Otolaryngology
NPI 1710421755
5955 ZEAMER AVE
Anchorage, AK 99506
(907) 580-1154
✔ PECOS✔ Accepts Medicare9.4 mi
Qualified Audiologist
NPI 1962130484
3841 PIPER ST STE T-240
Anchorage, AK 99508
(907) 279-8800
14 mi
Obstetrics/Gynecology
NPI 1780670364
4001 DALE ST STE 105
Anchorage, AK 99508
(907) 222-9930
✔ PECOS✔ Accepts Medicare14 mi
Occupational Therapist in Private Practice
NPI 1912225574
3801 LAKE OTIS PKWY STE 300
Anchorage, AK 99508
(907) 562-2277
✔ Accepts Medicare14 mi
Occupational Therapist in Private Practice
NPI 1568025484
4100 LAKE OTIS PKWY STE 108
Anchorage, AK 99508
(907) 563-3145
✔ Accepts Medicare14 mi
Orthopedic Surgery
NPI 1437418811
4100 LAKE OTIS PKWY STE 108
Anchorage, AK 99508
(907) 563-3145
✔ PECOS14 mi
Podiatry
NPI 1871955591
4100 LAKE OTIS PKWY STE 108
Anchorage, AK 99508
(907) 563-3145
✔ PECOS✔ Accepts Medicare14 mi
Physical Therapist in Private Practice
NPI 1356739791
4100 LAKE OTIS PKWY STE 108
Anchorage, AK 99508
(907) 563-3145
✔ Accepts Medicare14 mi
Physical Therapist in Private Practice
NPI 1952733917
4100 LAKE OTIS PKWY STE 108
Anchorage, AK 99508
(907) 563-3145
✔ Accepts Medicare14 mi
Physical Medicine and Rehabilitation
NPI 1144544107
4100 LAKE OTIS PKWY STE 108
Anchorage, AK 99508
(907) 563-3145
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1942047196
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
✔ PECOS✔ Accepts Medicare17 mi
Family Practice
NPI 1164422663
1100 E DIMOND BLVD STE 103
Anchorage, AK 99515
(907) 333-2133
✔ PECOS✔ Accepts Medicare17 mi
Otolaryngology
NPI 1427090430
1100 E DIMOND BLVD STE 201
Anchorage, AK 99515
(907) 348-2800
✔ PECOS✔ Accepts Medicare17 mi
Certified Nurse Midwife (CNM)
NPI 1053492587
3223 PALMER WASILLA HWY SUITE #1
Wasilla, AK 99654
(907) 357-4963
✔ PECOS✔ Accepts Medicare18 mi
General Surgery
NPI 1083149777
3066 E MERIDIAN PARK LOOP
Wasilla, AK 99654
(907) 357-2332
✔ PECOS✔ Accepts Medicare19 mi
Dermatology
NPI 1265705933
3066 E MERIDIAN PARK LOOP
Wasilla, AK 99654
(907) 357-9590
✔ PECOS✔ Accepts Medicare19 mi
Endocrinology
NPI 1275731515
3066 E MERIDIAN PARK LOOP STE 1
Wasilla, AK 99654
(907) 357-2332
✔ PECOS✔ Accepts Medicare19 mi
See all 67 clinicians

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 02D1099953

Medical Network Of Alaska Capstone Family Medicine - Eagle River · Eagle River, AK
Active · expires Jan 18, 2028
CLIA Number02D1099953
Laboratory TypePhysician Office
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorShawna L. Finley
Laboratory Phone(907) 694-9553
Laboratory LocationMedical Network Of Alaska Capstone Family Medicine - Eagle River17025 Snowmobile Lane, Eagle River, AK 99577
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Medical Network Of Alaska, LLC's NPI number?

The NPI number for Medical Network Of Alaska, LLC is 1821796533. It was assigned to this organization in the NPPES registry on February 21, 2023. The provider is doing business as Alaska Fracture and Orthopedic Clinic.

Where is Medical Network Of Alaska, LLC located?

Medical Network Of Alaska, LLC is located at 17025 Snowmobile Ln Ste 102, Eagle River, AK 99577. The listed phone number is (907) 689-3145.

What is Medical Network Of Alaska, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Medical Network Of Alaska, LLC enrolled in Medicare?

Yes. Medical Network Of Alaska, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical Network Of Alaska, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 67 clinicians in 15 Medicare specialties reassign their Medicare billing to Medical Network Of Alaska, 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 Family Practice (16), Orthopedic Surgery (11) and Physical Therapist in Private Practice (9). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Medical Network Of Alaska, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D1099953) is associated with this NPI, valid through January 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medical Network Of Alaska, LLC was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.