Allied Clinic & Wounds LLC
NPI 1720807563 · Family Nurse Practitioner · Anchorage, AK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Allied Clinic & Wounds LLC is a Family Nurse Practitioner organization in Anchorage, AK (NPI 1720807563).
Provider details
- NPI number
- 1720807563
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Stanley Kidavayi, Ceo(702) 601-1360
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
1 yr 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
- 2024-10-08
- Last updated
- 2024-10-08
- Certified
- 2024-10-08
Frequently asked questions
- What is Allied Clinic & Wounds LLC's NPI number?
- Allied Clinic & Wounds LLC's National Provider Identifier (NPI) is 1720807563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Allied Clinic & Wounds LLC?
- Allied Clinic & Wounds LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Allied Clinic & Wounds LLC located?
- Allied Clinic & Wounds LLC's practice location on file with NPPES is 1577 C St Ste 878616, Anchorage, AK 99501-5127.
- What is Allied Clinic & Wounds LLC's phone number?
- The practice phone number listed in the NPPES registry for Allied Clinic & Wounds LLC is (702) 983-6674.
- Does Allied Clinic & Wounds LLC accept Medicare?
- Allied Clinic & Wounds 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 Allied Clinic & Wounds LLC?
- The authorized official listed on Allied Clinic & Wounds LLC's NPPES record is Stanley Kidavayi, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Allied Clinic & Wounds LLC's NPI active?
- Yes — Allied Clinic & Wounds LLC's NPI (1720807563) is active in the NPPES registry as of the last update on 2024-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.