| Mat-su Valley III LLC | |
|
2500 S Woodworth Loop Palmer AK 99645-8984 | |
| (907) 861-6565 | |
| (907) 861-6568 |
| Full Name | Mat-su Valley III LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2500 S Woodworth Loop, Palmer, Alaska |
| Authorized Official Name and Position | Kristy Music (DIRECTOR, PROVIDER ENROLLMENT) |
| Authorized Official Contact | 8778929815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mat-su Valley III LLC Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7211 | Mat-su Valley III LLC 2500 S Woodworth Loop Palmer AK 99645-8984 Ph: (907) 861-6565 |
| NPI Number | 1366752560 |
|---|---|
| Provider Enumeration Date | 10/21/2010 |
| Last Update Date | 02/25/2026 |
| Certification Date | 02/25/2026 |
| Medicare PECOS PAC ID | 5496941502 |
|---|---|
| Medicare Enrollment ID | O20101130001385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366752560 | NPI | - | NPPES |
| MPG0314 | Medicaid | AK |
| Provider Name | Paul D Forman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871606004 PECOS PAC ID: 5294729877 Enrollment ID: I20040527000333 |
| Provider Name | Robert W Chalmers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114973708 PECOS PAC ID: 0941287817 Enrollment ID: I20040630000136 |
| Provider Name | Shelis R Jorgensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164481107 PECOS PAC ID: 6800866807 Enrollment ID: I20040728000239 |
| Provider Name | Virginia C Cooper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255333738 PECOS PAC ID: 3870695018 Enrollment ID: I20071214000007 |
| Provider Name | Cameron a Karlsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316245509 PECOS PAC ID: 6305022518 Enrollment ID: I20110523000591 |
| Provider Name | Mary a Eckart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104253939 PECOS PAC ID: 1052539533 Enrollment ID: I20140825001884 |
| Provider Name | Ardith L Conway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689850190 PECOS PAC ID: 2365571445 Enrollment ID: I20141119000016 |
| Provider Name | Amber L Tandeske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558529008 PECOS PAC ID: 3274852504 Enrollment ID: I20150507001009 |
| Provider Name | Paul Ho |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962558833 PECOS PAC ID: 1951588359 Enrollment ID: I20151027000503 |
| Provider Name | Hillary Linden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659700292 PECOS PAC ID: 7810124062 Enrollment ID: I20161021002044 |
| Provider Name | Meghan S Barnett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205229341 PECOS PAC ID: 8729363668 Enrollment ID: I20170316000731 |
| Provider Name | David M Arthur |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629461488 PECOS PAC ID: 9032490982 Enrollment ID: I20170529000057 |
| Provider Name | Ryan Hawkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497081137 PECOS PAC ID: 9638442429 Enrollment ID: I20170829004228 |
| Provider Name | Rachel Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588990915 PECOS PAC ID: 4688935380 Enrollment ID: I20180220002363 |
| Provider Name | Kathryn E Albert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356754618 PECOS PAC ID: 0244593580 Enrollment ID: I20180418002581 |
| Provider Name | Theresa Gale Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265984181 PECOS PAC ID: 0749562353 Enrollment ID: I20180515002441 |
| Provider Name | Michael a Dibartolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316999808 PECOS PAC ID: 9931353109 Enrollment ID: I20180613000473 |
| Provider Name | Rachel Susan Cuevas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508878885 PECOS PAC ID: 5496713166 Enrollment ID: I20181005001916 |
| Provider Name | Zachary M Buck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871023135 PECOS PAC ID: 3577832302 Enrollment ID: I20200625003258 |
| Provider Name | Rodney S Badger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003874439 PECOS PAC ID: 2567418494 Enrollment ID: I20200721002230 |
| Provider Name | Jasdeep Dalawari |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215986807 PECOS PAC ID: 1759275167 Enrollment ID: I20210407002886 |
| Provider Name | Marcus Thiemann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750876629 PECOS PAC ID: 5991054439 Enrollment ID: I20210903002677 |
| Provider Name | Jessica Lynn Bray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104590751 PECOS PAC ID: 4688072234 Enrollment ID: I20211012001511 |
| Provider Name | Paula Josefina Olivieri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942664016 PECOS PAC ID: 2264851849 Enrollment ID: I20220125002617 |
| Provider Name | Oren Pedersen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679910673 PECOS PAC ID: 6002834371 Enrollment ID: I20220207001036 |
| Provider Name | Rebekah A. Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184777310 PECOS PAC ID: 4688717358 Enrollment ID: I20220523000269 |
| Provider Name | Marti Marie Anliker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235843863 PECOS PAC ID: 2961876636 Enrollment ID: I20230320001819 |
| Provider Name | Shishira Seetharama Bharadwaj |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457587172 PECOS PAC ID: 7315102530 Enrollment ID: I20230323002114 |
| Provider Name | Haroon Yousaf |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871731364 PECOS PAC ID: 2769514611 Enrollment ID: I20230328002507 |
| Provider Name | Carol Ann Sant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275214520 PECOS PAC ID: 8224483656 Enrollment ID: I20231004003891 |
| Provider Name | Tabitha Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467132340 PECOS PAC ID: 4385099019 Enrollment ID: I20231016001413 |
| Provider Name | Amer Nassar |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1285016196 PECOS PAC ID: 4880909084 Enrollment ID: I20231017000690 |
| Provider Name | Ryah Mckinley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063945871 PECOS PAC ID: 2860749421 Enrollment ID: I20231030001696 |
| Provider Name | David Kovar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1770536179 PECOS PAC ID: 9638151400 Enrollment ID: I20240223002732 |
| Provider Name | Stephen Earle Meyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285341727 PECOS PAC ID: 4082051719 Enrollment ID: I20240318001686 |
| Provider Name | Fahim Jafary |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083659700 PECOS PAC ID: 8820029259 Enrollment ID: I20240416003945 |
| Provider Name | Mikaela Maree Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437901725 PECOS PAC ID: 0547600546 Enrollment ID: I20240424001455 |
| Provider Name | Stephen Kujansuu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295925477 PECOS PAC ID: 1850520990 Enrollment ID: I20240618002772 |
| Provider Name | Marisa Rae Goldfinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699433888 PECOS PAC ID: 0042680357 Enrollment ID: I20240805003558 |
| Provider Name | Michael L Sarkees |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669649075 PECOS PAC ID: 0446423370 Enrollment ID: I20240916002289 |
| Provider Name | Micah Renicker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528644424 PECOS PAC ID: 6103201751 Enrollment ID: I20240918002407 |
| Provider Name | Amanda Lynne Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164829354 PECOS PAC ID: 7012458789 Enrollment ID: I20240920002646 |
| Provider Name | David J Lemons |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932338753 PECOS PAC ID: 7113212275 Enrollment ID: I20240929000083 |
| Provider Name | Katherine Quill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467088369 PECOS PAC ID: 2163846718 Enrollment ID: I20241118003968 |
| Provider Name | Taras Kindrat |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326205980 PECOS PAC ID: 0345311411 Enrollment ID: I20241202002989 |
| Provider Name | Jessica Cheshier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528898434 PECOS PAC ID: 0840726766 Enrollment ID: I20241216000536 |
| Provider Name | Faisal Shamshad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225022320 PECOS PAC ID: 0345201463 Enrollment ID: I20250108002570 |
| Provider Name | Stacie Kruzinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518480706 PECOS PAC ID: 4183072523 Enrollment ID: I20250416002751 |
| Provider Name | Vaughn William Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013801877 PECOS PAC ID: 2163936279 Enrollment ID: I20250710000529 |
| Provider Name | Elena P. Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306024633 PECOS PAC ID: 9638679780 Enrollment ID: I20250822002346 |
| Provider Name | Ken Holt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104894047 PECOS PAC ID: 1557390424 Enrollment ID: I20250909003516 |
| Provider Name | Allan Sawyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285607713 PECOS PAC ID: 1850333295 Enrollment ID: I20250915002629 |
| Provider Name | Charisa Doherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376435065 PECOS PAC ID: 4082118328 Enrollment ID: I20250918003245 |
| Provider Name | Kimiko Joy Bravo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982165064 PECOS PAC ID: 9638538507 Enrollment ID: I20251114001918 |
| Provider Name | Mohan B Palla |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477998896 PECOS PAC ID: 0648571430 Enrollment ID: I20251121004430 |
| Provider Name | Nayab Zafar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497798813 PECOS PAC ID: 6709776560 Enrollment ID: I20260225001266 |
| Provider Name | Asher Jeremy Minor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073177747 PECOS PAC ID: 9234588740 Enrollment ID: I20260316003484 |
| Provider Name | Siamak Karimian |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225091812 PECOS PAC ID: 7719933258 Enrollment ID: I20260410000296 |
| Provider Name | John Adan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1295709665 PECOS PAC ID: 5799747002 Enrollment ID: I20260417002791 |
The Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 561 S Denali St Ste E, Palmer, AK 99645 Phone: 907-745-1777 Fax: 907-745-0226 |
Providence Matanuska Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2250 S. Woodworth Loop, Suite 101, Palmer, AK 99645 Phone: 907-761-5900 Fax: 907-761-5975 |
Bruck Clift MD Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1901 North Hemmer Road Suite 110, Palmer, AK 99645 Phone: 907-746-6686 Fax: 907-745-7182 |
Peninsula Pediatric Therapy, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7335 Palmer Wasilla Hwy, Palmer, AK 99645 Phone: 907-250-1151 Fax: 907-782-4202 |
Northern Bloom Health and Wellness, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 N Hemmer Rd Apt 208, Palmer, AK 99645 Phone: 907-203-4677 Fax: 800-516-0397 |
Ideal Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 W Evergreen Ave, Suite A, Palmer, AK 99645 Phone: 907-746-3366 |