NPIMap

Organization Active NPI

Mat-Su Valley III LLC

  • Urgent Care Clinic/Center
  • Palmer, AK
National Provider Identifier
1861935975
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MAT-SU VALLEY III LLC
Practice address
209 W Evergreen Ave Ste B
Palmer, AK 99645-6952
Phone
(907) 861-1400
Fax
(907) 861-1405
NPI assigned
Nov 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Kristy Music
Title
Director, Provider Enrollment
Phone
(615) 465-7377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X AK Primary

Addresses

Primary practice location

209 W Evergreen Ave Ste B
Palmer, AK 99645-6952

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7000

Other practice location 1

5851 South Knik-Goose Bay Road
Wasilla, AK 99623
Phone (907) 864-1300

Other identifiers 2

IdentifierTypeStateIssuer
1688331MedicaidAK
1668573MedicaidAK

Other names 1

  • Mat-Su Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101130001385 AK Part B Supplier - Clinic/Group Practice 5496941502 Receives reassigned benefits from 59 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wasilla, AK; Talkeetna, AK; Palmer, AK; Anchorage, AK

National Provider Directory

National Provider Directory

Locations

209 W Evergreen Ave
Ste B
Palmer, AK 99645
Phone (907) 861-1400

2490 S Woodworth Loop
Ste 200
Palmer, AK 99645
Phone (907) 746-7747

2490 S Woodworth Loop
Ste 250
Palmer, AK 99645
Phone (907) 861-6700

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1861935975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W EVERGREEN AVE STE B",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456952",
            "telephone_number": "907-861-1400",
            "fax_number": "907-861-1405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5851 South Knik-Goose Bay Road",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "99623",
            "country_code": "US",
            "telephone_number": "907-864-1300",
            "fax_number": "907-864-1305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAT-SU VALLEY III LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "MUSIC",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "DIRECTOR, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "615-465-7377"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1688331",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1668573",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mat-Su Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mat-Su Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.