Moose Creek Medical Clinic LLC
NPI 1053883595 · Adult Health Nurse Practitioner · Wasilla, AK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Moose Creek Medical Clinic LLC is a Adult Health Nurse Practitioner organization in Wasilla, AK (NPI 1053883595).
Provider details
- NPI number
- 1053883595
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kimberli Brock, Advanced Nurse Practitioner, Busine(907) 373-3335
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Women's Health Nurse Practitioner363LW0102X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-12-21
- Last updated
- 2018-12-21
Frequently asked questions
- What is Moose Creek Medical Clinic LLC's NPI number?
- Moose Creek Medical Clinic LLC's National Provider Identifier (NPI) is 1053883595, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moose Creek Medical Clinic LLC?
- Moose Creek Medical Clinic LLC is classified in the NPPES registry as Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Moose Creek Medical Clinic LLC located?
- Moose Creek Medical Clinic LLC's practice location on file with NPPES is 2341 S. Fern St., Suite 300, Wasilla, AK 99654.
- What is Moose Creek Medical Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Moose Creek Medical Clinic LLC is (907) 373-3335.
- Does Moose Creek Medical Clinic LLC accept Medicare?
- Moose Creek Medical Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Moose Creek Medical Clinic LLC?
- The authorized official listed on Moose Creek Medical Clinic LLC's NPPES record is Kimberli Brock, Advanced Nurse Practitioner, Busine. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moose Creek Medical Clinic LLC's NPI active?
- Yes — Moose Creek Medical Clinic LLC's NPI (1053883595) is active in the NPPES registry as of the last update on 2018-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.