Alpine Medical Group LLC
NPI 1114681608 · Family Nurse Practitioner · Fairbanks, AK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alpine Medical Group LLC is a Family Nurse Practitioner organization in Fairbanks, AK (NPI 1114681608).
Provider details
- NPI number
- 1114681608
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Haley Evens, Authorized Official(907) 455-4555
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Pediatric Nurse Practitioner363LP0200X
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2054 30th AveFairbanks, AK 99701-7316Phone: (907) 455-4555Fax: (833) 941-2349
Registry dates
- Enumerated
- 2021-10-29
- Last updated
- 2025-09-04
- Certified
- 2025-09-04
Frequently asked questions
- What is Alpine Medical Group LLC's NPI number?
- Alpine Medical Group LLC's National Provider Identifier (NPI) is 1114681608, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Alpine Medical Group LLC?
- Alpine Medical Group LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Alpine Medical Group LLC located?
- Alpine Medical Group LLC's practice location on file with NPPES is 605 Chief Thomas Dr, Fairbanks, AK 99709-4848.
- What is Alpine Medical Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Alpine Medical Group LLC is (907) 455-4555.
- Does Alpine Medical Group LLC accept Medicare?
- Alpine Medical Group LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Alpine Medical Group LLC?
- The authorized official listed on Alpine Medical Group LLC's NPPES record is Haley Evens, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Alpine Medical Group LLC's NPI active?
- Yes — Alpine Medical Group LLC's NPI (1114681608) is active in the NPPES registry as of the last update on 2025-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.