OrganizationActive
Medical Network of Alaska, LLC
NPI 1508089046 · Specialist · Wasilla, AK
Provider details
- NPI number
- 1508089046
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Parent organization
- Capstone Family Medicine LLC
- Organization subpart
- Yes
- Authorized official
- Jacquelyn Blomker, Rcm(907) 864-4625
- License
- 4593 (AK)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
3122 E Meridian Park Loop
Wasilla, AK 99654-7255
Phone: (907) 357-9590
Fax: (907) 357-9593
Street-level locationGet directions
Mailing address
3122 E Meridian Park Loop
Wasilla, AK 99654-7255
Other names (DBA / former)
- Doing business as
- Capstone Family Medicine
- Doing business as
- Capstone Family Medicine
Registry dates
- Enumerated
- 2007-04-11
- Last updated
- 2020-11-02
- Certified
- 2020-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.