Odland Family Practice Clinic, LLC
NPI 1114269313 · Family Medicine Physician · Wasilla, AK
Odland Family Practice Clinic, LLC is a Family Medicine Physician organization in Wasilla, AK (NPI 1114269313).
Provider details
- NPI number
- 1114269313
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shannon Pendergrass, Billing Manager(907) 355-0850
- License
- 955730 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
- 2013-03-26
- Last updated
- 2013-03-26
Frequently asked questions
- What is Odland Family Practice Clinic, LLC's NPI number?
- Odland Family Practice Clinic, LLC's National Provider Identifier (NPI) is 1114269313, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Odland Family Practice Clinic, LLC?
- Odland Family Practice Clinic, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Odland Family Practice Clinic, LLC located?
- Odland Family Practice Clinic, LLC's practice location on file with NPPES is 950 E Bogard Rd, Wasilla, AK 99654-7184.
- What is Odland Family Practice Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Odland Family Practice Clinic, LLC is (907) 355-0850.
- Who is the authorized official for Odland Family Practice Clinic, LLC?
- The authorized official listed on Odland Family Practice Clinic, LLC's NPPES record is Shannon Pendergrass, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Odland Family Practice Clinic, LLC's NPI active?
- Yes — Odland Family Practice Clinic, LLC's NPI (1114269313) is active in the NPPES registry as of the last update on 2013-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.