Individual provider Active NPI

Jennifer Ann Gehrke, APRN

  • Family Nurse Practitioner
  • Fairbanks, AK
National Provider Identifier
1124740808
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
197762 Issued in AK
Practice address
1867 Airport Way Ste 140a
Fairbanks, AK 99701-4055
Phone
(907) 457-9355
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 197762 AK Primary

Addresses

Primary practice location

1867 Airport Way Ste 140a
Fairbanks, AK 99701-4055

Mailing address

PO Box 82807
Fairbanks, AK 99708-2807
Phone (907) 378-4090

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221104002269 AK Practitioner - Nurse Practitioner 4284001132 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
197762AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Polar Wind Medical Center, Inc. CurrentSince Oct 3, 2022 Accepting new patients

Locations

1867 Airport Way
Ste 140A
Fairbanks, AK 99701
Phone (907) 457-9355

Interoperability endpoints

  • Direct secure messaging: jennifer.gehrke@polarwind.cernerdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/dacaffe7-8a80-45f7-8229-32bd110ee86a/

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Polar Wind Medical Center Inc 3 clinicians

Practice addresses (Care Compare)

1867 Airport Way
Suite 140a
Fairbanks, AK 99701-4055
Phone (907) 457-9355

Hospital & facility affiliations

  • Fairbanks Memorial Hospital Hospital, Fairbanks, AK, CCN 020012

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1124740808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82807",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997082807",
            "telephone_number": "907-378-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT WAY STE 140A",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014055",
            "telephone_number": "907-457-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEHRKE",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "197762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.