Individual provider Active NPI

Louis M Packer, M.D.

  • Family Medicine Physician
  • Wasilla, AK
National Provider Identifier
1407965288
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3064 Issued in AK
Practice address
185 E Parks Hwy
Wasilla, AK 99654-7038
Phone
(907) 373-4200
Fax
(907) 373-4201
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3064 AK Primary

Addresses

Primary practice location

185 E Parks Hwy
Wasilla, AK 99654-7038

Mailing address

185 E Parks Hwy
Wasilla, AK 99654-7038
Phone (907) 373-4200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120131000861 AK Practitioner - Family PracticePractitioner - Anesthesiology 7113922378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Anesthesiology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Urgent Care at Lake Lucille IncGroup PAC ID 3274526546, 3 clinicians

Practice addresses (Care Compare)

1700 E Bogard Rd
Suite B203
Wasilla, AK 99654-6570
Phone (907) 921-5088

185 E Parks Hwy
Wasilla, AK 99654-7038
Phone (907) 373-4200

Hospital & facility affiliations

  • Ancora Home Health & Hospice Home health agency, Wasilla, AK, CCN 027008
  • 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
Urgent Care at Lake Lucille Inc Family Medicine CurrentSince May 20, 1985 Accepting new patients

Locations

8505 Old Dairy Rd
Juneau, AK 99801
Phone (907) 790-4111

185 E Parks Hwy
Wasilla, AK 99654
Phone (907) 373-4200

Organizations & group practices 1

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 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1407965288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 E PARKS HWY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547038",
            "telephone_number": "907-373-4200",
            "fax_number": "907-373-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 E PARKS HWY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547038",
            "telephone_number": "907-373-4200",
            "fax_number": "907-373-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKER",
        "first_name": "LOUIS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "3064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

Verify at the official NPI Registry.