BETHEL FAMILY CLINIC
NPI 1891279097
Clinic/Center - Federally Qualified Health Center (FQHC) in Bethel, AK

Active since September 24, 2018
430 MAIN STREET, BETHEL, AK 99559(907) 543-3773 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 28, 2018, Sep 24, 2018 (2 updates tracked since 2018).

About Bethel Family Clinic NPPES

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

BETHEL FAMILY CLINIC (NPI 1891279097) is a healthcare organization registered as a federally qualified health center (fqhc) in Bethel, Alaska and active in the NPI registry since September 2018. The organization lists Suzanne Niemi, Finance, as its authorized official.

NPPES Registry Identity

NPI1891279097
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBETHEL FAMILY CLINIC
Location Address430 MAIN STREETBethel, AK 99559-1908
Mailing AddressPo Box 1908Bethel, AK 99559-1908 · (907) 543-3773
Organization SubpartYes
Authorized OfficialSuzanne NiemiFinance · (907) 543-9852
Enumeration DateSeptember 24, 2018
Last NPPES UpdateNovember 28, 20182 updates tracked since enumeration
✔ NPI 1891279097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
430 MAIN STREET, Bethel, AK 99559

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethel Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Bethel Family Clinic, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Pediatric Medicine
NPI 1437491107
430 MAIN ST.
Bethel, AK 99559
(907) 543-3773
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1982601498
PO BOX 1908
Bethel, AK 99559
(907) 543-3773
✔ PECOS0.4 mi
Mental Health Counselor
NPI 1649492216
PO BOX 1908
Bethel, AK 99559
(907) 543-3773
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1093037731
1131 E INTERNATIONAL AIRPORT RD
Anchorage, AK 99518
(907) 279-4351
✔ PECOS✔ Accepts Medicare399 mi
Nurse Practitioner
NPI 1831663905
115 SUNNYSIDE AVE STE A
Granger, WA 98932
(509) 865-6450
✔ PECOS✔ Accepts Medicare1,935 mi
Psychiatry
NPI 1386208841
1541 DIAMOND DR
Casper, WY 82601
(307) 217-8799
✔ PECOS✔ Accepts Medicare2,579 mi
Nurse Practitioner
NPI 1124335807
9300 CAMPUS POINT DR
La Jolla, CA 92037
(858) 657-6390
✔ PECOS2,768 mi
Nurse Practitioner
NPI 1831147107
949 PINEY FOREST RD
Danville, VA 24540
(434) 835-4876
✔ PECOS✔ Accepts Medicare3,813 mi
Nurse Practitioner
NPI 1841612678
103 COUNTRY CLUB DR
Fayetteville, NC 28301
(910) 400-7002
✔ PECOS✔ Accepts Medicare3,915 mi

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 Bethel Family Clinic's NPI number?

The NPI number for Bethel Family Clinic is 1891279097. It was assigned to this organization in the NPPES registry on September 24, 2018.

Where is Bethel Family Clinic located?

Bethel Family Clinic is located at 430 Main Street, Bethel, AK 99559. The listed phone number is (907) 543-3773.

What is Bethel Family Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Bethel Family Clinic enrolled in Medicare?

Yes. Bethel Family Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bethel Family Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Bethel Family Clinic. 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 (6), Mental Health Counselor (1) and Pediatric Medicine (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bethel Family Clinic was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.