Active NPI
Vincent Perino
- Physician Assistant
- Wasilla, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1144
- Practice address
- 3190 E Meridian Park Loop Ste 207
Wasilla, AK 99654-7422 - Phone
- (907) 631-4550
- Fax
- (907) 373-9461
- NPI assigned
- Feb 7, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1144 | AK | Primary |
Addresses
Primary practice location
3190 E Meridian Park Loop Ste 207
Wasilla, AK 99654-7422
Mailing address
PO Box 879352
Wasilla, AK 99687-9352
Phone (509) 994-3692
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vsmith535595@ak.providencedirect.org |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3122 E Meridian Park Loop
Wasilla, AK 99654-7255
Phone (907) 357-9590
3765 E Blue Lupine Dr
Suite C
Wasilla, AK 99654-8417
Phone (907) 357-9560
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.21 of 100
- Quality
- 55.96
- Improvement activities
- 40
- Cost
- 79.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1144 | AK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Network of Alaska, LLC | Current | Accepting new patients | |
| Medical Network of Alaska, LLC | Current | Accepting new patients | |
| Express Care Ak LLC | Current | Accepting new patients | |
| Medical Network of Alaska, LLC | Current | Accepting new patients | |
| Medical Group of Alaska | Current | Accepting new patients | |
| Medical Group of Alaska | Current | Accepting new patients | |
| Medical Network of Alaska, LLC | Past | Accepting new patients | |
| Iliuliuk Family &Health Services, Inc. | Past | Accepting new patients | |
| Eastern Aleutian Tribes, Inc | Past | Accepting new patients |
Locations
4361 Boniface Pkwy
Ste 3
Anchorage, AK 99504
Phone (907) 333-2133
1389 Huffman Park Dr
Ste 110
Anchorage, AK 99515
3190 E Meridian Park Loop
Ste 207
Wasilla, AK 99654
Phone (907) 357-7710
3765 E Blue Lupine Dr
Wasilla, AK 99654
Phone (907) 373-9462
3331 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 357-2332
3122 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 864-4625
Interoperability endpoints
- vincent.perino.1@27294.direct.athenahealth.com
- vperino396770@direct.peacehealth.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Capstone Urgent Care
- Urgent Care Clinic/Center
- Wasilla, AK
- NPI 1538414834
-
dba Algone Premier Pain Specialists of Alaska
- General Practice Physician
- Wasilla, AK
- NPI 1750730594
-
dba Providence Urgent Care
- Urgent Care Clinic/Center
- Anchorage, AK
- NPI 1770244568
-
- Clinic/Center
- Eagle River, AK
- NPI 1376003095
-
dba Empower Physical Therapy
- Physical Therapy Clinic/Center
- Wasilla, AK
- NPI 1891208351
-
dba MNA Laboratory
- Clinical Medical Laboratory
- Wasilla, AK
- NPI 1467167585
-
dba Resound ENT
- Otolaryngology Physician
- Anchorage, AK
- NPI 1922862986
-
- Community Health Clinic/Center
- King Cove, AK
- NPI 1649332446
-
dba IFHS Pharmacy
- Community/Retail Pharmacy
- Unalaska, AK
- NPI 1760340905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1598189714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 879352",
"city": "WASILLA",
"state": "AK",
"postal_code": "996879352",
"telephone_number": "509-994-3692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3190 E MERIDIAN PARK LOOP STE 207",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547422",
"telephone_number": "907-631-4550",
"fax_number": "907-373-9461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERINO",
"first_name": "VINCENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-07",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AK",
"license": "1144",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vsmith535595@ak.providencedirect.org",
"affiliation": "N",
"address_1": "1389 Huffman Park Dr Ste 110",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "995153534",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.