What is Cottonwood Creek Clinic LLC's NPI number?

Cottonwood Creek Clinic LLC's National Provider Identifier (NPI) is 1134523855, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Cottonwood Creek Clinic LLC?

Cottonwood Creek Clinic LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).

Where is Cottonwood Creek Clinic LLC located?

Cottonwood Creek Clinic LLC's practice location on file with NPPES is 3600 E Wickersham Way, Wasilla, AK 99654-7550.

What is Cottonwood Creek Clinic LLC's phone number?

The practice phone number listed in the NPPES registry for Cottonwood Creek Clinic LLC is (907) 373-5950.

Does Cottonwood Creek Clinic LLC accept Medicare?

Cottonwood Creek 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 Cottonwood Creek Clinic LLC?

The authorized official listed on Cottonwood Creek Clinic LLC's NPPES record is Richard Blake, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Cottonwood Creek Clinic LLC's NPI active?

Yes — Cottonwood Creek Clinic LLC's NPI (1134523855) is active in the NPPES registry as of the last update on 2023-03-07.

OrganizationActiveAccepts Medicare

Cottonwood Creek Clinic LLC

NPI 1134523855 · Internal Medicine Physician · Wasilla, AK

Cottonwood Creek Clinic LLC is a Internal Medicine Physician organization in Wasilla, AK (NPI 1134523855).

Provider details

NPI number: 1134523855
Entity type: Organization
Primary specialty: Internal Medicine PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Richard Blake, Owner(907) 373-5950
License: 1011473 (AK)

Practice location

3600 E Wickersham Way

Wasilla, AK 99654-7550

Phone: (907) 373-5950

Fax: (907) 373-5954

Street-level locationGet directions

More AK providers

Mailing address

3600 E Wickersham Way

Wasilla, AK 99654-7550

Specialties & taxonomies

Internal Medicine PhysicianPrimary207R00000XLicense 1011473 (AK)
Allopathic & Osteopathic Physicians

Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(76/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 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.

Enumerated: 2014-10-09
Last updated: 2023-03-07
Certified: 2020-02-14

Frequently asked questions

What is Cottonwood Creek Clinic LLC's NPI number?: Cottonwood Creek Clinic LLC's National Provider Identifier (NPI) is 1134523855, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Cottonwood Creek Clinic LLC?: Cottonwood Creek Clinic LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
Where is Cottonwood Creek Clinic LLC located?: Cottonwood Creek Clinic LLC's practice location on file with NPPES is 3600 E Wickersham Way, Wasilla, AK 99654-7550.
What is Cottonwood Creek Clinic LLC's phone number?: The practice phone number listed in the NPPES registry for Cottonwood Creek Clinic LLC is (907) 373-5950.
Does Cottonwood Creek Clinic LLC accept Medicare?: Cottonwood Creek 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 Cottonwood Creek Clinic LLC?: The authorized official listed on Cottonwood Creek Clinic LLC's NPPES record is Richard Blake, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Cottonwood Creek Clinic LLC's NPI active?: Yes — Cottonwood Creek Clinic LLC's NPI (1134523855) is active in the NPPES registry as of the last update on 2023-03-07.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions