Individual provider Active NPI

Vincent Perino

  • Physician Assistant
  • Wasilla, AK
National Provider Identifier
1598189714
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1144 Issued in AK
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

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140609002297 AK Practitioner - Physician Assistant 1658595863 Reassigns benefits to 3 organizations

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
Medical Network of Alaska LLCGroup PAC ID 3072618859, 70 clinicians

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 100Reported as group
Quality
55.96
Improvement activities
40
Cost
79.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1144AKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Network of Alaska, LLC Current Accepting new patients
Medical Network of Alaska, LLC CurrentSince Aug 1, 2024 Accepting new patients
Express Care Ak LLC CurrentSince Oct 15, 2019 Accepting new patients
Medical Network of Alaska, LLC CurrentSince Aug 1, 2024 Accepting new patients
Medical Group of Alaska CurrentSince Apr 1, 2021 Accepting new patients
Medical Group of Alaska CurrentSince Apr 1, 2021 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

  • Direct secure messaging: vincent.perino.1@27294.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.