Helen Elizabeth Gaynes, PA-C
Individual provider Active NPI Physician Assistant · Fairbanks, AK
NPI 1295515542 · NPPES record last updated Jun 10, 2025
Key facts
- NPI
- 1295515542
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 228691 (AK)
- Practice address
- 1919 Lathrop St
Fairbanks, AK 99701-5937 - Phone
- (907) 459-3570
- Fax
- (907) 459-3510
- NPI assigned
- Oct 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Duke University School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Tanana Valley Clinic LLC
Practice addresses (Care Compare)
1001 Noble St
Fairbanks, AK 99701-4948
Phone (907) 459-3500
Hospital & facility affiliations
- Fairbanks Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241203001313 | AK | Practitioner - Physician Assistant | 2567810047 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228691 | AK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanana Valley Clinic LLC | Current |
Accepting new patients | |
| Tanana Valley Clinic LLC | Current |
Accepting new patients |
Locations
1919 Lathrop St
Ste 105
Fairbanks, AK 99701
Phone (907) 374-1089
1919 Lathrop St
Fairbanks, AK 99701
Phone (907) 459-3570
1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181
1001 Noble St
Fairbanks, AK 99701
Phone (907) 276-2806
Interoperability endpoints
- helen.gaynes@direct.tananavalley.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-13639 | NC | |
| Physician Assistant | 363A00000X | 228691 | AK | Yes |
Addresses
Primary practice location
1919 Lathrop St
Fairbanks, AK 99701-5937
Mailing address
PO Box 73720
Fairbanks, AK 99707-3720
Phone (919) 448-6472
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1752862 | Medicaid | AK |
NPI Registry JSON
{
"created_epoch": "1696377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1295515542",
"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": "919-448-6472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 LATHROP ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997015937",
"telephone_number": "907-459-3570",
"fax_number": "907-459-3510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAYNES",
"first_name": "HELEN",
"middle_name": "ELIZABETH",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-04",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-13639",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AK",
"license": "228691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1752862",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
- Jill A Gates
- Joyce Gathiru
- Angelina Gauley
- Joseph Mattew Gaumer
- Christopher Gay
- Kimberly Lynn Gebauer
- Mariel Mitchell Ott Gebhardt
- Jennifer Ann Gehrke
- Paula R Gelineau
- Claire V Gelvin-Smith
All providers in Fairbanks, AK · Physician Assistant in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.