Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Manelick

Individual provider Physician Assistant · NPI 1871903955

Jordan Manelick is a Physician Assistant in Wasilla, Alaska. Qualified in 2015, 11 years ago. Practices with Southcentral Foundation, a 170-clinician group and accepts Medicare assignment.

Years since qualifying
11
In the registry since
2014

Practice location Address checks out

1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
Phone: (907) 631-7800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1871903955
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 29, 2014
Last updated in NPPESJuly 21, 2022
Mailing address1001 Knik Goose Bay Rd, Wasilla, AK 99654

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southcentral Foundation — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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