Active NPI
Jenny R Lessner, MD
- Family Medicine Physician
- Fairbanks, AK
National Provider Identifier
1306007679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7034
- Practice address
- 1001 Noble St
Tanana Valley Clinic
Fairbanks, AK 99701-4922 - Phone
- (907) 459-3500
- Fax
- (907) 459-3588
- NPI assigned
- Jun 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7034 | AK | Primary |
Addresses
Primary practice location
1001 Noble St
Tanana Valley Clinic
Fairbanks, AK 99701-4922
Mailing address
1001 Noble St
Tanana Valley Clinic
Fairbanks, AK 99701-4922
Phone (907) 459-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008119 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110910002941 | TX | Practitioner - Family Practice | 5496926081 | Reassigns benefits to 1 organization |
| I20120315000105 | AK | Practitioner - Family Practice | 5496926081 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tanana Chiefs Conference
Practice addresses (Care Compare)
1717 W Cowles St
Fairbanks, AK 99701-5926
Phone (907) 451-6682
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7034 | AK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanana Chiefs Conference | Current | Accepting new patients | |
| Tanana Chiefs Conference | Current | Accepting new patients | |
| Chena Obstetrics & Gynecology PC | Family Medicine | Current | Accepting new patients |
Locations
1919 Lathrop St
Ste 222
Fairbanks, AK 99701
Phone (907) 456-5990
122 1st Ave
Ste 106
Fairbanks, AK 99701
Interoperability endpoints
- jenny.lessner.1@15989.direct.athenahealth.com
- jenny.lessner@foundationhealth.cernerdirect.com
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Fairbanks, AK
- NPI 1639271323
AK, Family Medicine
-
- Ambulatory Surgical Clinic/Center
- Fairbanks, AK
- NPI 1871332387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1306007679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 NOBLE ST",
"address_2": "TANANA VALLEY CLINIC",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014922",
"telephone_number": "907-459-3500",
"fax_number": "907-459-3588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 NOBLE ST",
"address_2": "TANANA VALLEY CLINIC",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014922",
"telephone_number": "907-459-3500",
"fax_number": "907-459-3588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESSNER",
"first_name": "JENNY",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-19",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "7034",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008119",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.