Medical Network of Alaska, LLC
NPI 1033883285ActiveOrganization· Dermatology· Wasilla, AK
Dermatology in Wasilla, Alaska, registered in NPPES in August 2021, part of Medical Network of Alaska, LLC. The authorized official on file is Jacquelyn Renee Blomker, Director Of Revenue Cycle.
Overview
| NPI | 1033883285 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Medical Network of Alaska, LLC |
| NPI issued | Aug 2, 2021 |
| Last updated in NPPES | Aug 2, 2021 |
| Certified by provider | Aug 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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