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

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.

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 (142 clinicians)

Practice addresses (Care Compare)

1001 Noble St
Fairbanks, AK 99701-4948
Phone (907) 459-3500

Hospital & facility affiliations

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

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 IDStateProvider typePAC IDDetails
I20241203001313 AK Practitioner - Physician Assistant 2567810047 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
228691AKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tanana Valley Clinic LLC Current
since Dec 1, 2024
Accepting new patients
Tanana Valley Clinic LLC Current
since Dec 1, 2024
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

  • Direct secure messaging: helen.gaynes@direct.tananavalley.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1752862MedicaidAK

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 10, 2025.

{
    "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

All providers in Fairbanks, AK · Physician Assistant in Alaska

Sources for this page

Verify at the official NPI Registry.