Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrew Kelly Merrick, PA-C

Individual provider Physician Assistant · NPI 1629551221

Andrew Kelly Merrick, PA-C is a Physician Assistant in Wasilla, Alaska. Qualified in 2019, 7 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
7
Licensed in
AK
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3190 E Meridian Park Loop Ste 207
Wasilla, AK 99654-7422
Phone: (907) 373-9460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4100 Lake Otis Pkwy Ste 108, Anchorage, AK 99508-5230 — (907) 563-3145

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 156990 (AK)

Record details

NPI number1629551221
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 10, 2018
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wasilla