Atlas Medical Aco LLC
NPI 1629807086 · Clinic/Center · Wasilla, AK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Atlas Medical Aco LLC is a Clinic/Center organization in Wasilla, AK (NPI 1629807086).
Provider details
- NPI number
- 1629807086
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Atlas Medical Aco LLC
- Organization subpart
- Yes
- Authorized official
- Gregory Mangum, Owner(435) 514-5646
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2024-08-01
- Last updated
- 2024-10-17
- Certified
- 2024-10-17
Frequently asked questions
- What is Atlas Medical Aco LLC's NPI number?
- Atlas Medical Aco LLC's National Provider Identifier (NPI) is 1629807086, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Atlas Medical Aco LLC?
- Atlas Medical Aco LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Atlas Medical Aco LLC located?
- Atlas Medical Aco LLC's practice location on file with NPPES is 3831 E Blue Lupine Dr Ste C, Wasilla, AK 99654-8461.
- What is Atlas Medical Aco LLC's phone number?
- The practice phone number listed in the NPPES registry for Atlas Medical Aco LLC is (907) 521-2368.
- Does Atlas Medical Aco LLC accept Medicare?
- Atlas Medical Aco 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 Atlas Medical Aco LLC?
- The authorized official listed on Atlas Medical Aco LLC's NPPES record is Gregory Mangum, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Atlas Medical Aco LLC's NPI active?
- Yes — Atlas Medical Aco LLC's NPI (1629807086) is active in the NPPES registry as of the last update on 2024-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.