TANANA VALLEY CLINIC LLC
NPI 1922559558
Clinic/Center - Multi-Specialty in Fairbanks, AK
About Tanana Valley Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TANANA VALLEY CLINIC LLC (NPI 1922559558) is a healthcare organization registered as a multi-specialty in Fairbanks, Alaska and active in the NPI registry since October 2016. The organization maintains 4 additional practice locations and lists Anthony G Sudduth, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
Other Identifiers 5
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)
Tanana Valley Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
172Medicare enrollment records show 172 clinicians reassign Medicare billing to Tanana Valley Clinic LLC, which bills Medicare for the services they deliver. Of these, 26 practice at this address and 109 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 25
Nearest to this location (20)
See all 172Source: 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 Tanana Valley Clinic LLC's NPI number?
The NPI number for Tanana Valley Clinic LLC is 1922559558. It was assigned to this organization in the NPPES registry on October 19, 2016.
Where is Tanana Valley Clinic LLC located?
Tanana Valley Clinic LLC is located at 1001 Noble St, Fairbanks, AK 99701. The listed phone number is (907) 459-3500.
What is Tanana Valley Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Tanana Valley Clinic LLC enrolled in Medicare?
Yes. Tanana Valley Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tanana Valley Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 172 clinicians in 25 Medicare specialties reassign their Medicare billing to Tanana Valley Clinic 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 Certified Registered Nurse Anesthetist (CRNA) (26), Nurse Practitioner (21) and Family Practice (17). Of these, 26 practice at this address and 109 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Tanana Valley Clinic LLC accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Tanana Valley Clinic 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 Tanana Valley Clinic LLC was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Tanana Valley Clinic Llc · NPI 1922559558
Multi-Specialty organization in Fairbanks, Alaska. Organization record, active in the CMS NPPES registry since October 19, 2016.
## Identity
- **NPI:** 1922559558 (Entity type: Organization)
- **Enumerated:** October 19, 2016
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** Yes (part of Foundation Health Llc)
- **Authorized official:** Anthony Sudduth, CFO
## Practice location
- **Address:** 1001 NOBLE ST, Fairbanks, AK 99701-4948
- **Phone:** (907) 459-3500 · **Fax:** (907) 459-3526
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 172 clinicians in 25 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (26), Nurse Practitioner (21), Family Practice (17); 26 practice at this address and 109 within 10 miles; [full list](https://npiprofile.com/npi/1922559558/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2025
- **Other identifiers:** Medicaid 1680751 (AK); Medicaid 1656231 (AK); Medicaid 1656211 (AK); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1922559558) · Data from the CMS NPPES public registry.