Active NPI
Medevac Alaska LLC
- Air Ambulance
- Anchorage, AK
National Provider Identifier
1285173880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- Legal business name
- MEDEVAC ALASKA LLC
- Practice address
- 6160 Carl Brady Dr
Anchorage, AK 99502-1801 - Phone
- (907) 310-9001
- NPI assigned
- Feb 15, 2017
- Last updated
- Mar 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kip Fanning
- Title
- President
- Phone
- (907) 957-1208
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | AK | Primary |
Addresses
Primary practice location
6160 Carl Brady Dr
Anchorage, AK 99502-1801
Mailing address
PO Box 190044
Anchorage, AK 99519-0044
Phone (907) 957-1208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170710001113 | AK | Part B Supplier - Ambulance Service Supplier | 3072882976 | Practice locations: Anchorage, AK |
National Provider Directory
National Provider DirectoryLocations
6231 S Airpark Pl
Anchorage, AK 99502
Phone (907) 957-1208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772496000000",
"number": "1285173880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190044",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995190044",
"telephone_number": "907-957-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6160 CARL BRADY DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995021801",
"telephone_number": "907-310-9001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDEVAC ALASKA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-15",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A",
"authorized_official_last_name": "FANNING",
"authorized_official_first_name": "KIP",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "907-957-1208"
},
"taxonomies": [
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": "AK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
- Zachary Adam Measel, DPT
- Aiga Meauli
- Renee Meaux, PTA
- Emily Patricia Mechtenberg, LPC
- Alexander Medeiros, RN
- Medevac Alaska LLC
- Medical Equipment Distributors of Alaska, Inc. (MEDAK, Inc.)
- Medical Network of Alaska, LLC (Alaska Advanced Dermatology)
- Medical Network of Alaska, LLC (Alaska Fracture and Orthopedic Clinic)
- Medical Network of Alaska, LLC (Alaska Fracture and Orthopedic Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.