Individual provider Active NPI

Neil Anthony Nardini, PA-C

  • Physician Assistant
  • Palmer, AK
National Provider Identifier
1871879718
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2152 Issued in AK
Practice address
561 S Denali St Ste E
Palmer, AK 99645-6464
Phone
(907) 745-1777
Fax
(907) 745-0226
NPI assigned
Oct 24, 2011
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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 2152 AK Primary

Addresses

Primary practice location

561 S Denali St Ste E
Palmer, AK 99645-6464

Mailing address

561 S Denali St Ste E
Palmer, AK 99645-6464
Phone (907) 745-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150513000346 TX Practitioner - Physician Assistant 0840441176 Reassigns benefits to 1 organization
I20170413000846 AK Practitioner - Physician Assistant 0840441176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Family Health Centers LLCGroup PAC ID 6103101845, 3 clinicians

Practice addresses (Care Compare)

561 S Denali St
Suite E
Palmer, AK 99645-6464
Phone (907) 745-1777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2152AKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Mar 16, 2015 Accepting new patients
Capital Health System Past Accepting new patients
Alaska Medical Clinics, LLC PastSince Dec 15, 2008 Accepting new patients
Family Health Center, PC PastSince Mar 1, 2003 Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

Organizations & group practices 5

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.

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": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1871879718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 S DENALI ST STE E",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456464",
            "telephone_number": "907-745-1777",
            "fax_number": "907-745-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 S DENALI ST STE E",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456464",
            "telephone_number": "907-745-1777",
            "fax_number": "907-745-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDINI",
        "first_name": "NEIL",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-24",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "2152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

Verify at the official NPI Registry.