Individual provider Active NPI

Stephen Michael Wahl, M.D.

  • Family Medicine Physician
  • Metlakatla, AK
National Provider Identifier
1497934897
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AA 3683 Issued in AK
Practice address
PO Box 439
Metlakatla, AK 99926-0439
Phone
(907) 886-4742
Fax
(907) 886-5831
NPI assigned
Nov 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X AA 3683 AK
Family Medicine Physician 207Q00000X AA 3683 AK Primary
Pharmacy 333600000X

Addresses

Primary practice location

PO Box 439
Metlakatla, AK 99926-0439

Mailing address

PO Box 439
Metlakatla, AK 99926-0439
Phone (907) 886-4742

Other identifiers 1

IdentifierTypeStateIssuer
MD 3683MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140131000397 TX Practitioner - Family Practice 2668531021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metlakatla Indian CommunityGroup PAC ID 5890691315, 19 clinicians

Practice addresses (Care Compare)

563 Brendible St
Metlakatla, AK 99926
Phone (907) 886-4741

Hospital & facility affiliations

  • Peacehealth Ketchikan Medical Center Hospital, Ketchikan, AK, CCN 021311

Merit-based Incentive Payment System (MIPS)

Final score
79.12 of 100Reported as group
Quality
81.91
Promoting interoperability
100
Improvement activities
40
Cost
40.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AA 3683AKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metlakatla Indian Community CurrentSince Sep 25, 2013 Accepting new patients
Tok Clinic, LLC Emergency Medicine Past Accepting new patients
Raymond E. Andreassen Family Medicine Past Accepting new patients
Mat-Su Valley Medical Center LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: smwahl@direct.aisu.org

Organizations & group practices 4

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": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1497934897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 439",
            "city": "METLAKATLA",
            "state": "AK",
            "postal_code": "999260439",
            "telephone_number": "907-886-4742",
            "fax_number": "907-886-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 439",
            "city": "METLAKATLA",
            "state": "AK",
            "postal_code": "999260439",
            "telephone_number": "907-886-4742",
            "fax_number": "907-886-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-01",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AK",
            "license": "AA 3683",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "AA 3683",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD 3683",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metlakatla, AK

Sources for this page

Verify at the official NPI Registry.