| Dena'ina Wellness Center | |
|
508 Upland St Kenai AK 99611-8026 | |
| (907) 335-7550 | |
| (888) 491-3360 |
| Full Name | Dena'ina Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 508 Upland St, Kenai, Alaska |
| Authorized Official Name and Position | Greg Burnett (FINANCE DIRECTOR) |
| Authorized Official Contact | 9073357200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dena'ina Wellness Center Po Box 988 Kenai AK 99611-0988 Ph: (907) 335-7550 | Dena'ina Wellness Center 508 Upland St Kenai AK 99611-8026 Ph: (907) 335-7550 |
| NPI Number | 1932114600 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 08/13/2025 |
| Certification Date | 08/13/2025 |
| Medicare PECOS PAC ID | 4082506225 |
|---|---|
| Medicare Enrollment ID | O20040325000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932114600 | NPI | - | NPPES |
| CL9243 | Medicaid | AK |
| Provider Name | Fridrik Gudmundsson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831531037 PECOS PAC ID: 9335383819 Enrollment ID: I20130924000297 |
| Provider Name | Dolores Van Bourgondien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457788390 PECOS PAC ID: 9032332275 Enrollment ID: I20190610000219 |
| Provider Name | Patricia Rose Kendrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679693204 PECOS PAC ID: 5698874899 Enrollment ID: I20190819002152 |
| Provider Name | Timothy Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134211568 PECOS PAC ID: 9739197567 Enrollment ID: I20191003002801 |
| Provider Name | David Seramur |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437566635 PECOS PAC ID: 4082046297 Enrollment ID: I20191108001511 |
| Provider Name | Wayne Russell Millar |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1821172594 PECOS PAC ID: 7416366232 Enrollment ID: I20210507000987 |
| Provider Name | Mary M Bassir |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1700449048 PECOS PAC ID: 3870986979 Enrollment ID: I20220214001813 |
| Provider Name | Stephan Becker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063678795 PECOS PAC ID: 2062660921 Enrollment ID: I20220509002364 |
| Provider Name | Lisa Mapuranga |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972696722 PECOS PAC ID: 5698098846 Enrollment ID: I20221116002885 |
| Provider Name | Kristen Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629679782 PECOS PAC ID: 6608275284 Enrollment ID: I20221205002891 |
| Provider Name | Rebecca Strong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356990055 PECOS PAC ID: 3870954902 Enrollment ID: I20230804001647 |
| Provider Name | Christopher Bowers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720411572 PECOS PAC ID: 6709231780 Enrollment ID: I20231011001365 |
| Provider Name | Lindsey Marie Johanning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649055195 PECOS PAC ID: 5395192314 Enrollment ID: I20240212002857 |
| Provider Name | Chelsea Eisenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215559919 PECOS PAC ID: 6901253608 Enrollment ID: I20240212003667 |
| Provider Name | Craig Ward |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043435118 PECOS PAC ID: 1153762828 Enrollment ID: I20240513000714 |
| Provider Name | Shana Mickenham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972089738 PECOS PAC ID: 5193166767 Enrollment ID: I20240514001286 |
| Provider Name | Joseph J. Cannava |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821180456 PECOS PAC ID: 3577005289 Enrollment ID: I20240610003092 |
| Provider Name | Deonna Spies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528810496 PECOS PAC ID: 1456895390 Enrollment ID: I20240801004392 |
| Provider Name | Kimi Hmar Zook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255489852 PECOS PAC ID: 1850839028 Enrollment ID: I20240819003516 |
| Provider Name | Emelia Conaty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144078486 PECOS PAC ID: 1052859139 Enrollment ID: I20240828001519 |
| Provider Name | Deborah Chambless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962809061 PECOS PAC ID: 7416221593 Enrollment ID: I20241106000002 |
| Provider Name | David Andrew Plaisance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902325699 PECOS PAC ID: 5698015220 Enrollment ID: I20241111002962 |
| Provider Name | Lacy Daniel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780193599 PECOS PAC ID: 9638603616 Enrollment ID: I20241113002824 |
| Provider Name | Kimberly Shamakian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871325563 PECOS PAC ID: 7911431879 Enrollment ID: I20241114001909 |
| Provider Name | Jessica E Duke |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639775315 PECOS PAC ID: 3476075110 Enrollment ID: I20250321002380 |
| Provider Name | Molly Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346860848 PECOS PAC ID: 4082038468 Enrollment ID: I20250416003404 |
| Provider Name | Stacy Stewart |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760828446 PECOS PAC ID: 5698286474 Enrollment ID: I20250618001527 |
| Provider Name | Zhinga Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184390619 PECOS PAC ID: 1557872199 Enrollment ID: I20250619000821 |
| Provider Name | Jeremy Francis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992881338 PECOS PAC ID: 0749794428 Enrollment ID: I20250725003203 |
| Provider Name | Karey Mewbourn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992116958 PECOS PAC ID: 6800014135 Enrollment ID: I20250819003596 |
| Provider Name | Jason Larsen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407895964 PECOS PAC ID: 1052481702 Enrollment ID: I20250820001250 |
| Provider Name | Miles Ardaman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831142702 PECOS PAC ID: 1355364688 Enrollment ID: I20250822002791 |
| Provider Name | Cathryn Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477441186 PECOS PAC ID: 3476055591 Enrollment ID: I20250908002098 |
| Provider Name | Rebecca G Warren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356910939 PECOS PAC ID: 6305343005 Enrollment ID: I20251008003276 |
| Provider Name | James Bozeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134004898 PECOS PAC ID: 2961906516 Enrollment ID: I20251028003130 |
| Provider Name | Chrystal Rose Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821296526 PECOS PAC ID: 7416446026 Enrollment ID: I20251031004024 |
| Provider Name | Curtis J Warren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427623768 PECOS PAC ID: 6507268000 Enrollment ID: I20251106003087 |
| Provider Name | Shiela Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013975523 PECOS PAC ID: 0840270740 Enrollment ID: I20251108000151 |
| Provider Name | Karrie Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649624404 PECOS PAC ID: 3577952290 Enrollment ID: I20251112004038 |
| Provider Name | Noah Leaf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932079464 PECOS PAC ID: 8921593435 Enrollment ID: I20251222003615 |
Kenai Medical Center - Cph Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Frontage Rd, Suite 123, Kenai, AK 99611 Phone: 907-283-4611 Fax: 907-283-3992 |
Capstone Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10543 Kenai Spur Hwy, Kenai, AK 99611 Phone: 907-357-9590 Fax: 907-357-9593 |
Kahtnuhtana Duhdeldiht Education Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12271 South Forest Drive, Kenai, AK 99611 Phone: 907-335-7636 |
Ideal Option, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 Frontage Rd # 400, Kenai, AK 99611 Phone: 509-222-1275 Fax: 509-491-3031 |
Independence Healthcare Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Trading Bay Rd Ste 8, Kenai, AK 99611 Phone: 907-283-4633 Fax: 907-262-0832 |
Redoubt Medical Group LLC. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 416 Frontage Rd Ste 200, Kenai, AK 99611 Phone: 907-283-6030 Fax: 907-283-3194 |