Individual provider Active NPI

Stephen Alex Kujansuu, M.D.

  • Obstetrics & Gynecology Physician
  • Wasilla, AK
National Provider Identifier
1295925477
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
212882 Issued in AK
Practice address
5000 E Shennum Dr
Wasilla, AK 99654-7718
Phone
(907) 373-3420
Fax
(907) 376-7847
NPI assigned
Jul 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 26406 OK
Obstetrics & Gynecology Physician 207V00000X 212882 AK Primary

Addresses

Primary practice location

5000 E Shennum Dr
Wasilla, AK 99654-7718

Mailing address

5000 E Shennum Dr
Wasilla, AK 99654-7718
Phone (907) 373-3420

Other practice location 1

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone (702) 653-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240515000442 WA Practitioner - Obstetrics/Gynecology 1850520990 Reassigns benefits to 1 organization
I20240618002772 AK Practitioner - Obstetrics/Gynecology 1850520990 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Human Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mat-Su Midwifery IncGroup PAC ID 5496079394, 11 clinicians

Practice addresses (Care Compare)

5000 E Shennum Dr
Wasilla, AK 99654-7718
Phone (907) 373-3420

Hospital & facility affiliations

  • Mat-Su Regional Medical Center Hospital, Palmer, AK, CCN 020006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 1 of Mason County Current Accepting new patients
Mat-Su Midwifery Inc CurrentSince Apr 1, 2025 Accepting new patients
Tanana Valley Clinic LLC CurrentSince Apr 7, 2024 Accepting new patients
Public Hospital District No 1 of Mason County Wa CurrentSince Jun 1, 2024 Accepting new patients
Tanana Valley Clinic LLC CurrentSince Apr 7, 2024 Accepting new patients
Mat-Su Valley III LLC CurrentSince Apr 26, 2024 Accepting new patients
Mat-Su Valley III LLC Obstetrics & Gynecology Current Accepting new patients
Alaska Native Tribal Health Consortium Current Accepting new patients
Mat-Su Valley Medical Center LLC Past Accepting new patients

Locations

1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181

1001 Noble St
Fairbanks, AK 99701
Phone (907) 276-2806

2500 S Woodworth Loop
Palmer, AK 99645
Phone (907) 861-6000

950 E Bogard Rd
Ste 207
Wasilla, AK 99654
Phone (907) 357-9444

5000 E Shennum Dr
Wasilla, AK 99654
Phone (907) 373-3420

1701 N 13th St
Shelton, WA 98584
Phone (360) 426-2653

901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611

Interoperability endpoints

  • Direct secure messaging: skujansuu@direct.scf.cc

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1295925477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 E SHENNUM DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547718",
            "telephone_number": "907-373-3420",
            "fax_number": "907-376-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 E SHENNUM DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547718",
            "telephone_number": "907-373-3420",
            "fax_number": "907-376-7847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Las Vegas Blvd N",
            "address_purpose": "LOCATION",
            "city": "Nellis AFB",
            "state": "NV",
            "postal_code": "891916600",
            "country_code": "US",
            "telephone_number": "702-653-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUJANSUU",
        "first_name": "STEPHEN",
        "middle_name": "ALEX",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "26406",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AK",
            "license": "212882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

Verify at the official NPI Registry.