Individual provider Active NPI

Nathan Joseph Kessler, DO

  • Pediatrics Physician
  • Fairbanks, AK
National Provider Identifier
1033612874
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
242435 Issued in AK
Practice address
1650 Cowles St
Fairbanks, AK 99701-5907
Phone
(907) 374-4546
Fax
(907) 458-5241
NPI assigned
Mar 16, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 242435 AK Primary
Pediatrics Physician 208000000X DOS-2440 HI

Addresses

Primary practice location

1650 Cowles St
Fairbanks, AK 99701-5907

Mailing address

PO Box 73720
Fairbanks, AK 99707-3720
Phone (907) 458-4546

Other practice location 1

4643 Waimea Canyon Drive
Waimea, HI 96796
Phone (206) 434-2920

Other identifiers 1

IdentifierTypeStateIssuer
1758938MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, AK, GU3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230925002218 HI Practitioner - Pediatric Medicine 3577989524 Reassigns benefits to 1 organization
I20250820001311 AK Practitioner - Pediatric Medicine 3577989524 Reassigns benefits to 1 organization
I20251104001248 GU Practitioner - Pediatric Medicine 3577989524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1650 Cowles St
Fairbanks, AK 99701-5998

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
242435AKMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel Mahelona Memorial Hospital CurrentSince Aug 10, 2023 Accepting new patients
Tanana Valley Clinic LLC CurrentSince Aug 5, 2025 Accepting new patients
Guam Memorial Hospital CurrentSince Sep 9, 2025 Accepting new patients
Kauai Veterans Memorial Hospital CurrentSince Aug 10, 2023 Accepting new patients
Kauai Veterans Memorial Hospital Current Accepting new patients
Samuel Mahelona Memorial Hospital Current Accepting new patients
Samuel Mahelona Memorial Hospital CurrentSince Aug 10, 2023 Accepting new patients
Tanana Valley Clinic LLC CurrentSince Aug 5, 2025 Accepting new patients
Guam Memorial Hospital CurrentSince Sep 9, 2025 Accepting new patients
Western University of Health Sciences Past Accepting new patients
Fairbanks Memorial Hospital, LLC Past Accepting new patients

Locations

1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181

1001 Noble St
Fairbanks, AK 99701
Phone (907) 276-2806

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

2469 Puu Rd
Ste C
Kalaheo, HI 96741
Phone (808) 378-4557

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1033612874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73720",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997073720",
            "telephone_number": "907-458-4546",
            "fax_number": "907-458-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015907",
            "telephone_number": "907-374-4546",
            "fax_number": "907-458-5241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4643 Waimea Canyon Drive",
            "address_purpose": "LOCATION",
            "city": "Waimea",
            "state": "HI",
            "postal_code": "96796",
            "country_code": "US",
            "telephone_number": "206-434-2920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "NATHAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-16",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AK",
            "license": "242435",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "DOS-2440",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1758938",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.