Individual provider Active NPI

Karolina Priebe, DNP, FNP

  • Family Nurse Practitioner
  • Fairbanks, AK
National Provider Identifier
1366829699
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NURU1548 Issued in AK
Practice address
1905 Cowles St Ste B
Fairbanks, AK 99701-5914
Phone
(907) 371-1766
Fax
(907) 531-7365
NPI assigned
May 6, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1626 30TH Ave
Fairbanks, AK 99701-7466
Phone (907) 371-1766

Hospital & facility affiliations

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

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
I20150728006538 AK Practitioner - Nurse Practitioner 2062726508 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NURU1548AKMDFamily Nurse Practitioner
19572TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Karolina Priebe DNP PC Family CurrentSince Sep 10, 2021 Accepting new patients
Revive Medical Spa LLC Current Accepting new patients
Aurora Plastic Surgery, LLC Past Accepting new patients
Aurora Foot & Ankle Surgical Specialists, LLC PastSince Feb 9, 2010 Accepting new patients

Locations

2555 Phillips Field Rd
Pier M
Fairbanks, AK 99709
Phone (907) 328-2920

1905 Cowles St
Ste B
Fairbanks, AK 99701
Phone (907) 371-1766

2555 Phillips Field Rd
Fairbanks, AK 99709
Phone (907) 328-2920

1626 30th Ave
Ste 202
Fairbanks, AK 99701
Phone (907) 371-1766

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19572 TN
Family Nurse Practitioner 363LF0000X NURU1548 AK Primary

Addresses

Primary practice location

1905 Cowles St Ste B
Fairbanks, AK 99701-5914

Mailing address

1905 Cowles St Ste B
Fairbanks, AK 99701-5914
Phone (907) 371-1766

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1366829699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 COWLES ST STE B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015914",
            "telephone_number": "907-371-1766",
            "fax_number": "907-531-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 COWLES ST STE B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015914",
            "telephone_number": "907-371-1766",
            "fax_number": "907-531-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIEBE",
        "first_name": "KAROLINA",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19572",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "NURU1548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.