Arete Family Care LLC
Organization Active NPI Family Medicine Physician · Anchorage, AK
NPI 1801460415 · NPPES record last updated Oct 2, 2024
Key facts
- NPI
- 1801460415
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ARETE FAMILY CARE LLC
- Practice address
- 2741 Debarr Rd Ste 307
Anchorage, AK 99508-2972 - Phone
- (907) 777-1899
- Fax
- (855) 468-1357
- NPI assigned
- May 18, 2021
- Organization subpart
- No
Authorized official
- Name
- Cindy A Alkire
- Title
- Administrator
- Phone
- (907) 230-8855
Practitioners 19
-
Lisbeth K Berge, MD
-
Timothy Coalwell, M.D.
-
Stacey R Nieder, MD
-
Julie Robinson, MD
-
Julie Lynn Wilson, M.D.
-
Josiah Anderson, PA
-
Leslie Tolliver II, PA-C
-
Shadia Sarah Tolliver, PA-C
-
Ray Robinson, MD
-
Keils Kitchen, PA-C
-
Jacob Michael McNamara, PA-C
-
Paul Lin Patton, PA-C
-
Michael S Reeves, M.D.
-
Suzanne Marie Smerjac, PA-C
-
Jeffrey David Kim, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 02D2173105 | Arete Family Care, LLC | Compliance | Feb 17, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210720000635 | AK | Part B Supplier - Clinic/Group Practice | 0446653117 |
Receives reassigned benefits from 16 practitioners Practice locations: Anchorage, AK |
National Provider Directory
Interoperability endpoints
- https://api.platform.athenahealth.com/24116/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
2741 Debarr Rd Ste 307
Anchorage, AK 99508-2972
Mailing address
2741 Debarr Rd Ste 307
Anchorage, AK 99508-2972
Phone (907) 777-1899
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MEDS3354 | Other | AK | ALASKA MEDICAL LICENSES |
| MEDS4848 | Other | AK | ALASKA MEDICAL LICENSES |
| MEDS5080 | Other | AK | ALASKA MEDICAL LICENSES |
| 126939 | Other | AK | ALASKA MEDICAL LICENSES |
| MEDS3927 | Other | AK | ALASKA MEDICAL LICENSES |
| MEDS4552 | Other | AK | ALASKA MEDICAL LICENSES |
| MEDS5674 | Other | AK | ALASKA MEDICAL LICENSES |
| PADA1214 | Other | AK | ALASKA MEDICAL LICENSES |
Other providers in Anchorage, AK
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- Sam Aregood
- Maria Arellano
- Mark Edward Arena
- James Arendash Jr.
- Ariana Alh, LLC
- Arise Ak LLC
- Ark of Caring Living Assisted Home
- Ark of Emmanuel Assisting Living Home
- Heather Anne Arkell
All providers in Anchorage, AK · Family Medicine Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.