Family Medicine
ODLAND FAMILY PRACTICE CLINIC, LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1114269313 · enumerated 2013-03-26 · record updated 2013-03-26. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: SHANNON PENDERGRASS CMRS, BILLING MANAGER · (907) 355-0850
Addresses and phones
- Mailing address 950 E BOGARD RD, SUITE 234, WASILLA, AK, 99687-9481 (907) 355-0850 Fax (907) 373-0117 Google Maps Apple Maps OpenStreetMap
- Practice location 950 E BOGARD RD, SUITE 234, WASILLA, AK, 99654-7184 (907) 355-0850 Fax (907) 373-0117 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License 955730 AK
In this directory
Locations and evidence
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Practice location
WASILLA, AK, 996547184
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.