Express Care Ak LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EXPRESS CARE AK LLC

Practice address

17101 Snowmobile LN Ste 114
Eagle River, AK 99577-7043

Phone

(888) 227-3312

NPI assigned

Mar 20, 2019

Organization subpart

No

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

Authorized official

Name

Donald Wayne Anderson Jr.

Title

Assistant Secretary of Enrollments

Phone

(425) 358-9786

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Express Care Ak LLC

  dba Providence Urgent Care

  • Urgent Care Clinic/Center
  • Anchorage, AK
  • NPI 1770244568

  O20191206000950

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 39

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.

• Elise Bishop, FNP-BC

  • Family Nurse Practitioner
  • Eagle River, AK
  • NPI 1861129256
  NPD
• Lara Jesic Lawlor, FNP

  • Family Nurse Practitioner
  • Anchorage, AK
  • NPI 1518089572
  NPD
• Christian John Moore, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Eagle River, AK
  • NPI 1184585655
  NPD
• Kenneth Jewell Norris Jr., MD

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1841276102
  NPD
• Timothy Cho Olson, PA-C

  • Physician Assistant
  • Anchorage, AK
  • NPI 1154792620
  NPD
• Vincent Perino

  • Physician Assistant
  • Wasilla, AK
  • NPI 1598189714
  NPD
• Marion Ruth, FNP-C

  • Family Nurse Practitioner
  • Kenai, AK
  • NPI 1740789288
  NPD
• Jebb Sagun

  • Family Nurse Practitioner
  • Anchorage, AK
  • NPI 1235783457
  NPD
• Angela Santiago, APRN, FNP-C

  • Family Nurse Practitioner
  • Anchorage, AK
  • NPI 1578997391
  NPD
• Crystal Sharon, M.D.

  • Family Medicine Physician
  • Wasilla, AK
  • NPI 1326277013
  NPD
• Denise Diep Thi Tran, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Anchorage, AK
  • NPI 1922443266
  NPD
• Bella Labuanan Orbino, ARNP

  • Family Nurse Practitioner
  • Seattle, WA
  • NPI 1710199427
  NPD

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1376003095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5608",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972285608",
            "telephone_number": "888-227-3312",
            "fax_number": "425-276-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17101 SNOWMOBILE LN STE 114",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777043",
            "telephone_number": "888-227-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS CARE AK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY OF ENROLLMENTS",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Euler, LPC, NCC
• Arom Evans, MD
• Jamie Lynn Evans, DPT
• William R Evans III, D.D.S.
• Stephanie S Evenstad, RPH
• Family Outreach Center for Understanding Special Needs Inc (Focus Inc)
• Family Pharmacy
• Doris Belle Farrell, LMT
• Thomas A. Fenger, PH.D., P.A.
• Michele E Finley, L.P.N.

• Clinic/Center in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.