Michelle Leiolani Vanderpool, FNP is a medicare enrolled "Clinic/center - Urgent Care" in Wasilla, Alaska. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Select Physical Therapy Holdings Inc, Urgent Care At Lake Lucille Inc and her current practice location is
950 E Bogard Rd Ste 228, Wasilla, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 215-4846.
Michelle Leiolani Vanderpool is licensed to practice in Alaska (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477224426.
Provider's Profile
| Full Name | Michelle Leiolani Vanderpool |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 4 Years |
|---|
| Location | 950 E Bogard Rd Ste 228, Wasilla, Alaska |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Michelle Leiolani Vanderpool graduated from nursing school in 2022
NPI Data:
- NPI Number: 1477224426
- Provider Enumeration Date: 09/21/2021
- Last Update Date: 04/21/2026
Medicare PECOS Information:
- PECOS PAC ID: 7012362775
- Enrollment ID: I20231016002475
Medical Identifiers
Medical identifiers for Michelle Leiolani Vanderpool such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477224426 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 200471 (Alaska) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (Alaska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Select Physical Therapy Holdings Inc | 9537076401 | 2148 |
| Urgent Care At Lake Lucille Inc | 3274526546 | 2 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michelle Leiolani Vanderpool allows following entities to bill medicare on her behalf.
| Entity Name | Urgent Care At Lake Lucille Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1275587768 PECOS PAC ID: 3274526546 Enrollment ID: O20040405000688 |
|---|
| Entity Name | South Sound Inpatient Physicians Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1508023789 PECOS PAC ID: 5991618738 Enrollment ID: O20100920001132 |
|---|
| Entity Name | Atlas Medical Alaska Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1376213207 PECOS PAC ID: 0345630463 Enrollment ID: O20211205000014 |
|---|
| Entity Name | Atlas Medical Aco Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1629807086 PECOS PAC ID: 1456885227 Enrollment ID: O20241218000012 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Leiolani Vanderpool is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Michelle Leiolani Vanderpool, FNP 950 E Bogard Rd Ste 228, Wasilla, AK 99654-7185 Ph: (907) 215-4846 | Michelle Leiolani Vanderpool, FNP 950 E Bogard Rd Ste 228, Wasilla, AK 99654-7185 Ph: (907) 215-4846 |
Reviews and Comments