Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Clinton Deaver, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1033937115

Mr. Clinton Deaver, FNP-BC is a Nurse Practitioner in Wasilla, Alaska. Qualified in 2024, 2 years ago. Practices with Atlas Medical Alaska LLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
2
Licensed in
AK
In the registry since
2024
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

7010 E Bogard Rd
Wasilla, AK 99654-4711
Phone: (907) 373-4732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5822 W Tidewater Dr, Wasilla, AK 99623-0227 — (907) 203-0072

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 229469 (AK)

Record details

NPI number1033937115
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedSeptember 28, 2024
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Atlas Medical Alaska Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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