ANESIA ANAHONAK MOONIN CLINIC
NPI 1902077837
Clinic/Center - Community Health in Port Graham, AK
About Anesia Anahonak Moonin Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANESIA ANAHONAK MOONIN CLINIC (NPI 1902077837) is a healthcare organization registered as a community health in Port Graham, Alaska and active in the NPI registry since March 2008. The organization lists Kelley Baker, Health Services Division Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Anesia Anahonak Moonin Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Anesia Anahonak Moonin Clinic, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (10)
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 Chugachmiut's NPI number?
The NPI number for Chugachmiut is 1902077837. It was assigned to this organization in the NPPES registry on March 19, 2008. The provider is doing business as Anesia Anahonak Moonin Clinic.
Where is Chugachmiut located?
Chugachmiut is located at 63998 Graham Road Unit #3, Port Graham, AK 99603. The listed phone number is (907) 284-2241.
What is Chugachmiut's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.
Is Chugachmiut enrolled in Medicare?
Yes. Chugachmiut is registered in the Medicare PECOS enrollment system.
When is Chugachmiut's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alaska, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Chugachmiut?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Chugachmiut. 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 (8), Family Practice (1) and Registered Dietitian or Nutrition Professional (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Chugachmiut was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Anesia Anahonak Moonin Clinic · NPI 1902077837
Community Health organization in Port Graham, Alaska. Organization record, active in the CMS NPPES registry since March 19, 2008.
## Identity
- **NPI:** 1902077837 (Entity type: Organization)
- **Enumerated:** March 19, 2008
- **Primary specialty:** Clinic/Center - Community Health · taxonomy 261QC1500X
- **Legal business name:** Chugachmiut
- **Organization subpart:** No
- **Authorized official:** Kelley Baker, HEALTH SERVICES DIVISION DIRECTOR
## Practice location
- **Address:** 63998 GRAHAM ROAD UNIT #3, Port Graham, AK 99603
- **Phone:** (907) 284-2241 · **Fax:** (907) 284-2277
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Alaska, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Family Practice (1), Registered Dietitian or Nutrition Professional (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 13, 2021
- **Other identifiers:** Medicaid 1581154 (AK)
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Source: [NPI Profile](https://npiprofile.com/npi/1902077837) · Data from the CMS NPPES public registry.