Valerie Clark (NPI# 1033537568, PAC ID# 5991928665) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1033537568 |
PAC ID by PECOS | 5991928665 |
Professional Enrollment ID | I20140711000425 |
Full Name | Valerie Clark |
Organization Legal Name | MAT-SU VALLEY III LLC |
Address |
950 E Bogard Rd Wasilla AK 99654-7172 |
Phone Number | 9078640260 |
Gender | F |
Graduation Year | 2013 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 5496941502 |
Number of Group Practice Members | 14 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
020006 | MAT-SU REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2490 S Woodworth Loop, Suite 301, Palmer, AK 99645-7407 | 9077467747 | MAT-SU VALLEY III LLC |
950 E Bogard Rd, Wasilla, AK 99654-7172 | 9078640260 | MAT-SU VALLEY III LLC |
Organization Legal Name | MAT-SU VALLEY III LLC |
Physicians | 21 |
Name | Specialty | Organization | Address |
---|---|---|---|
Benjamin Eachon | Physician Assistant | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
Virginia C Cooper | Physician Assistant | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
Shawn A Roberts | Nurse Practitioner | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
Paul H Gibson | Physician Assistant | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
Michael A Dibartolo | Family Medicine | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
Barbara J Doty | Family Medicine | Mat-su Valley IIi LLC | 1700 E Bogard Rd, Suite 100, Wasilla, AK 99654-6563 |
Matthew John Mau | Physician Assistant | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
Jessica D Rowley | Physician Assistant | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
Megan Ferguson | Certified Nurse Midwife (cnm) | Mat-su Valley IIi LLC | 2490 S Woodworth Loop, Suite 301, Palmer, AK 99645-7407 |
Violeta D Yeager | Nurse Practitioner | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
Street Address |
950 E BOGARD RD |
City | WASILLA |
State | AK |
Zip | 99654-7172 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nathan Neves George | Nurse Practitioner | John C Boston Do PC | 950 E Bogard Rd, Suite 228, Wasilla, AK 99654-7185 |
Duane I Odland | Family Medicine | 950 E Bogard Rd, Suite 234, Wasilla, AK 99654-7185 | |
Patricia Beth Payne | Nurse Practitioner | John C Boston Do PC | 950 E Bogard Rd, Suite 228, Wasilla, AK 99654-7185 |
Elliott Bruce Gagnon | Plastic and Reconstructive Surgery | 950 E Bogard Rd, Suite 209, Wasilla, AK 99654-7172 | |
Rachel Adams | Nurse Practitioner | Mat-su Valley Medical Center LLC | 950 E Bogard Rd, Wasilla, AK 99654-7184 |
John C Boston | Internal Medicine | John C Boston Do PC | 950 E Bogard Rd, Suite 228, Wasilla, AK 99654-7185 |
Megan D Nystrom | Family Practice | Odland Family Practice Clinic, LLC | 950 E Bogard Rd, Suite 234, Wasilla, AK 99654-7185 |
Michael Michaud | Physician Assistant | Mat-su Valley IIi LLC | 950 E Bogard Rd, Wasilla, AK 99654-7172 |
Name | Specialty | Organization | Address |
---|---|---|---|
Blaine G Upham | Chiropractic | 5461 E Mayflower Lane, Suite 6, Wasilla, AK 99654 | |
Jeffrey A Lepage | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
Trisha M Magee | Physical Therapy | Health Quest Therapy Inc | Mile 4, Wasilla, AK 99654 |
Marlys F Bryan | Physical Therapy | Health Quest Therapy Inc | Mile 4, Wasilla, AK 99654 |
Josh T Williams | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
Amy L Stielstra | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
Corissa J Abel | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
Lisa M Bouyea-francies | Nurse Practitioner | Mat-su Health Services Inc. | 1363 W Spruce Ave, Wasilla, AK 99654-5327 |
Robin Hughes | Clinical Social Worker | Mat-su Health Services Inc. | 1363 W Spruce Ave, Wasilla, AK 99654-5327 |
Mary A Eckart | Physician Assistant | Mat-su Health Services Inc. | 1363 W Spruce Ave, Wasilla, AK 99654-5327 |
Find all physicians in zip 99654 |
City | WASILLA |
Zip Code | 99654 |
Specialty | NURSE PRACTITIONER |
City + Specialty | WASILLA + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.