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Active NPI 1235021270 Individual Practitioner Female Practitioner

Mckenzie Peckham , PA-C

Physician Assistant • Wasilla, AK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mckenzie Peckham, PA-C is a certified Physician Assistant practicing in Wasilla, AK. With approximately 1 years of clinical experience since graduating from University Of Washington School Of Medicine in 2025, Mckenzie Peckham delivers high-quality medical care to the local community at 3765 E BLUE LUPINE DR.

Mckenzie Peckham maintains professional affiliations with Pioneer Peak Orthopedics Llc, Select Physical Therapy Holdings Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3765 E Blue Lupine Dr

Wasilla, AK 996548417

Telephone 9077071671
Associated Practice Facility / Clinic
🏢 Lupine Dental Llc Facility NPI 1518690676

Medicare Profile & Education

Medical School

University Of Washington School Of Medicine

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Wasilla, AK

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -9.5 yrs vs City Avg
City Avg: 10.5 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
28 Specialists

Practicing in Wasilla, AK (551 Statewide)

Telehealth Adoption Rate
7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peckham (1 Years) 1 Yrs
Wasilla Specialty Average (10.5 Years) 10.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AK 245355

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Select Physical Therapy Holdings Inc

10928 Eagle River Rd, Eagle River, AK 995778078

Phone: 9076948085

Pioneer Peak Orthopedics Llc

3765 E Blue Lupine Dr, Wasilla, AK 996548417

Phone: 9077071671

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Christina Bena

Physical Therapy Assistant

NPI 1235967613
Dr. Caleb Canfield , DPT

Physical Therapist

NPI 1245037233

Doctor of Physical Therapy

Ksenia Sokolova , PA-C

Physician Assistant - Medical

NPI 1396192860

Physician Assistant (Certified)

Jessica Van Wulven , PA-C

Physician Assistant - Medical

NPI 1457758815

Physician Assistant (Certified)

Dr. Charles Haggerty , MD

Orthopaedic Surgery

NPI 1487847430

Doctor of Medicine (M.D.)

Brittany Anderson

Physical Therapy Assistant

NPI 1578276408

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 29, 2025

Registered at 3765 E BLUE LUPINE DR, WASILLA, AK 996548417 (Tel: 9077071671)

📍
Updated Business Mailing Address September 29, 2025

Registered at 3765 E BLUE LUPINE DR STE D, WASILLA, AK 996548417 (Tel: 9077071671)

👤
Provider Name / Credentials Updated September 29, 2025

Recorded as MCKENZIE PECKHAM, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2025

Physician Assistant (License #245355 in AK)

NPI Profile Active July 16, 2025

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address July 16, 2025

Registered at 4311 11TH AVE NE STE 200, SEATTLE, WA 981056367 (Tel: 0661640012)

📍
Updated Practice Location July 16, 2025

Registered at 4311 11TH AVE NE STE 200, SEATTLE, WA 981056367 (Tel: 0661640012)

👤
Provider Name / Credentials Updated July 16, 2025

Recorded as MCKENZIE PECKHAM, PA-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 16, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235021270
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2025
Last Update: September 29, 2025
Sole Proprietor: No

Mailing Address

3765 E Blue Lupine Dr Ste D

Wasilla, AK 996548417

Phone: 9077071671

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.