Active NPI
McKay Frandsen, DO
- Dermatology Physician
- Ft Wainwright, AK
National Provider Identifier
1013473800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 217300
- Practice address
- 1060 Gaffney Rd
Ft Wainwright, AK 99703-5002 - Phone
- (907) 361-5644
- Fax
- (907) 361-4823
- NPI assigned
- Feb 16, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0102206480 | VA | |
| Dermatology Physician | 207N00000X | 217300 | AK | Primary |
Addresses
Primary practice location
1060 Gaffney Rd
Ft Wainwright, AK 99703-5002
Mailing address
4076 Neely Road
BLDG 4076, Room 1B-201
Fort Wainwright, AK 99703
Phone (907) 361-6028
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102206480 | VA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Network of Alaska, LLC | General Practice | Current | Accepting new patients |
| Medical Network of Alaska, LLC | Current | Accepting new patients | |
| Medical Network of Alaska, LLC | Current | Accepting new patients | |
| Medical Network of Alaska, LLC | Current | Accepting new patients |
Locations
3331 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 357-2332
3066 E Meridian Park Loop
Ste 2
Wasilla, AK 99654
Phone (907) 357-9560
3122 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 864-4625
Interoperability endpoints
- mfrandsen146537@direct.phhs.org
- https://api.platform.athenahealth.com/27294/brand/1/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Wasilla, AK
- NPI 1538414834
-
- Clinical Medical Laboratory
- Wasilla, AK
- NPI 1467167585
-
- Otolaryngology Physician
- Anchorage, AK
- NPI 1922862986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1013473800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4076 NEELY ROAD",
"address_2": "BLDG 4076, ROOM 1B-201",
"city": "FORT WAINWRIGHT",
"state": "AK",
"postal_code": "99703",
"telephone_number": "907-361-6028",
"fax_number": "907-361-4847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 GAFFNEY RD",
"city": "FT WAINWRIGHT",
"state": "AK",
"postal_code": "997035002",
"telephone_number": "907-361-5644",
"fax_number": "907-361-4823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANDSEN",
"first_name": "MCKAY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-16",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0102206480",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AK",
"license": "217300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Wainwright, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.