Ravencrest Medical LLC
NPI 1568230456ActiveOrganization· Family Medicine· Soldotna, AK
Family Medicine in Soldotna, Alaska, registered in NPPES in December 2023. The authorized official on file is Danna Mavis Constance Moisii, PA-C, Physician Assistant/ Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1568230456 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2023 |
| Last updated in NPPES | Jun 17, 2024 |
| Certified by provider | Jun 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (AK) |
|---|
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