NPIMap

Organization Active NPI

Bartlett Regional Hospital

Doing business as Wildflower Court

  • Skilled Nursing Facility
  • Juneau, AK
National Provider Identifier
1144901059
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BARTLETT REGIONAL HOSPITAL
Doing business as
Wildflower Court
Practice address
2000 Salmon Creek LN
Juneau, AK 99801-7801
Phone
(907) 463-8700
NPI assigned
Jul 25, 2023
Last updated
Jun 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Joseph Wanner
Title
Chief Financial Officer
Phone
(907) 796-8402

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2000 Salmon Creek LN
Juneau, AK 99801-7801

Mailing address

2000 Salmon Creek LN
Juneau, AK 99801-7801

Other names 1

  • Wildflower Court Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230920003374 AK Part A Provider - Skilled Nursing Facility 2668464850 Practice locations: Juneau, AK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144901059. Details of each certification follow.

Skilled nursing facility certification: CCN 025027

Legal name
BARTLETT REGIONAL HOSPITAL
Doing business as
WILDFLOWER COURT
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 15, 1994
Last certification
May 9, 2025
Beds
57
Ownership / control type
City/County
Organization structure
GovernmentNon-profit
Incorporated
Jan 1, 1965 in AK
Enrollment address
2000 Salmon Creek LN
Juneau, AK 99801-7801
Nursing home name
WILDFLOWER COURT

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wildflower CourtCCN 025027 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Government - City/county
Certified
May 15, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5746.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Bartlett Memorial Hosp9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHEABD

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kim McDowell Individual Operational/Managerial Control Jul 10, 2023
John F Raster Individual Managing Control - Governing BodyVice President of the Board Jul 10, 2023
Max Mertz Individual Managing Control - Governing BodyBoard Member Jul 10, 2023
Gail Moorehead Individual Operational/Managerial Control Jul 10, 2023
Bartlett Regional Hospital Organization, Juneau, AK Medical provider/supplier, Non-profit Operational/Managerial Control Jul 10, 2023
Adp of the SNF Apr 29, 2025
City and Borough of Juneau Alaska Organization, Juneau, AK Non-profit 5% Or Greater Direct Ownership Interest Jul 10, 2023 100%
Adp of the SNF Jul 10, 2023
Joseph Wanner Individual Operational/Managerial Control Oct 21, 2024
Kenny Solomon-Gross Individual Managing Control - Governing BodyBoard Member Jul 10, 2023
Lisa Petersen Individual Managing Control - Governing BodyBoard Member Jul 10, 2023
Deborah Koelsch Individual Operational/Managerial Control Nov 24, 2024
Adp of the SNF Nov 24, 2024
Deborah Johnston Individual Managing Control - Governing BodyBoard President Jul 10, 2023
Christopher Letterman Individual Managing Control - Governing BodyBoard Member Dec 1, 2024
Alex D Malter Individual Operational/Managerial Control Jul 10, 2023
Managing Control - Governing BodyChief of Staff Jan 1, 2024
Adp of the SNF Jul 10, 2023
Brent Tingey Individual Managing Control - Governing BodyBoard Member Jan 1, 2025
Richelle Deering Individual Managing Control - Governing BodyBoard of Director Jan 1, 2024
Harold (Hal) Geiger Individual Managing Control - Governing BodyBoard Member Jul 10, 2023
Tami M Lawson-Churchill Individual Operational/Managerial Control Jul 10, 2023
Adp of the SNF Jul 10, 2023

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1144901059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SALMON CREEK LN",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SALMON CREEK LN",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017801",
            "telephone_number": "907-463-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTLETT REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "WANNER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "907-796-8402"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wildflower Court",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wildflower Court",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Juneau, AK

Sources for this page

Verify at the official NPI Registry.