Alysen Cynthia Montague, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

242273 Issued in AK

Practice address

2054 30TH Ave
Fairbanks, AK 99701-7316

Phone

(907) 455-4555

NPI assigned

Jul 17, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Group practices

Alpine Medical Group LLCGroup PAC ID 7113302373, 9 clinicians

Gold Star Longevity and Wellness LLCGroup PAC ID 3173863388, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alysen.montague.1@24993.direct.athenahealth.com

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.

• Alpine Medical Group LLC

  • Family Nurse Practitioner
  • Fairbanks, AK
  • NPI 1114681608
  Medicare reassignment Care Compare group NPD
• Gold Star Longevity & Wellness LLC

  • Family Medicine Physician
  • Fairbanks, AK
  • NPI 1427532613
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1093607780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 BLACKBURN WAY",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997057330",
            "telephone_number": "919-720-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 30TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017316",
            "telephone_number": "907-455-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAGUE",
        "first_name": "ALYSEN",
        "middle_name": "CYNTHIA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "242273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Ann Moneymaker
• Monique Mayo LLC
• John Monk
• Sally Monk
• Yelena Montag
• William Henry Montano, MD
• Dionne Lashawn Montgomery, CNM
• Hope A Monzulla
• Julie Moon, CNM, ARNP
• Moongang Inc

• Family Nurse Practitioner in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Family Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.