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Medical Network of Alaska, LLC

NPI 1508089046ActiveOrganization· Specialist· Wasilla, AK

Specialist in Wasilla, Alaska, registered in NPPES in April 2007, part of Capstone Family Medicine LLC. The authorized official on file is Jacquelyn Renee Blomker, Rcm.

Overview

NPI1508089046
StatusActive
Entity typeOrganization (subpart)
Parent organizationCapstone Family Medicine LLC
NPI issuedApr 11, 2007
Last updated in NPPESNov 2, 2020
Certified by providerNov 2, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X4593AK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Specialist providers in Wasilla

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