Individual provider Active NPI

Joe Marie Franz Llenos, MD

  • Family Medicine Physician
  • Homer, AK
National Provider Identifier
1003073560
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
193520 Issued in AK
Practice address
4136 Bartlett St
Homer, AK 99603-7001
Phone
(907) 235-8586
Fax
(907) 235-6639
NPI assigned
May 21, 2008
Last updated
Oct 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M-10752 ID
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 193520 AK Primary

Addresses

Primary practice location

4136 Bartlett St
Homer, AK 99603-7001

Mailing address

4300 Bartlett St
Homer, AK 99603-7000
Phone (907) 235-8586

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JOE.LLENOS@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221006002364 AK Practitioner - Family Practice 7517012552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.11 of 100Reported as individual
Quality
80.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-10752IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Peninsula Hospital, Inc CurrentSince Nov 15, 2025 Accepting new patients
South Peninsula Hospital, Inc CurrentSince Aug 29, 2022 Accepting new patients
South Peninsula Hospital, Inc. Family Medicine CurrentSince Aug 29, 2022 Accepting new patients
West Valley Medical Group Specialty Services LLC Past Accepting new patients
Apogee Medical Group Idaho PC Family Medicine Past Accepting new patients
Caldwell Internal Medicine Professional Association Past Accepting new patients

Locations

4136 Bartlett St
Homer, AK 99603
Phone (907) 235-6127

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/sphosp-0c203fcf
  • Direct secure messaging: jllenos3874064@ak.providencedirect.org
  • Direct secure messaging: joe.llenos.1@14977.direct.athenahealth.com
  • Direct secure messaging: joe.llenos@hca3.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
South Peninsula Hospital IncHomer, AK, CCN 025031 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Aug 1, 2025
Aug 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1003073560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 BARTLETT ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037000",
            "telephone_number": "907-235-8586",
            "fax_number": "907-235-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4136 BARTLETT ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037001",
            "telephone_number": "907-235-8586",
            "fax_number": "907-235-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLENOS",
        "first_name": "JOE",
        "middle_name": "MARIE FRANZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-10752",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "193520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JOE.LLENOS@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1906 Fairview Ave Ste 230",
            "city": "Caldwell",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836055432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Homer, AK

Sources for this page

Verify at the official NPI Registry.