NPIMap

Individual provider Active NPI

Jonathan G Fraley, PA

  • Physician Assistant
  • Delta Junction, AK
National Provider Identifier
1386622835
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1197 Issued in AK
Practice address
2730 Alaska Highway
Delta Junction, AK 99737-0285
Phone
(907) 895-6233
Fax
(907) 895-6288
NPI assigned
Jan 5, 2006
Last updated
Feb 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50002345 OH
Physician Assistant 363A00000X 1197 AK Primary

Addresses

Primary practice location

2730 Alaska Highway
Delta Junction, AK 99737-0285

Mailing address

PO Box 5
Mile 187 Glenn Highway
Glennallen, AK 99588-0005
Phone (907) 822-3203

Other identifiers 3

IdentifierTypeStateIssuer
PA25814OtherOHMEDICARE PTAN
PA25815OtherOHMEDICARE PTAN
0075450MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140929002810 AK Practitioner - Physician Assistant 0244258697 Reassigns benefits to 1 organization
I20260318001466 TX Practitioner - Physician Assistant 0244258697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cross Road Health Ministries IncGroup PAC ID 4688587348, 10 clinicians

Practice addresses (Care Compare)

187 Mile
Glennallen, AK 99588
Phone (907) 822-3203

7300 Klawock Hollis Hwy
Klawock, AK 99925-7891
Phone (907) 755-4800

PO Box
Suite 5
Glennallen, AK 99588

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1197AKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium CurrentSince Mar 10, 2026 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Mar 10, 2026 Accepting new patients
Cross Road Health Ministries, Inc. CurrentSince Sep 1, 2014 Accepting new patients
Samaritan Emergency Corp Past Accepting new patients

Locations

187 Glenn Hwy
Glennallen, AK 99588
Phone (907) 822-3203

Interoperability endpoints

  • Direct secure messaging: jonathan.fraley.1@28976.direct.athenahealth.com
  • Direct secure messaging: jonathan.fraley.p1@direct.crossroadmc.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1386622835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "address_2": "MILE 187 GLENN HIGHWAY",
            "city": "GLENNALLEN",
            "state": "AK",
            "postal_code": "995880005",
            "telephone_number": "907-822-3203",
            "fax_number": "907-822-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 ALASKA HIGHWAY",
            "city": "DELTA JUNCTION",
            "state": "AK",
            "postal_code": "997370285",
            "telephone_number": "907-895-6233",
            "fax_number": "907-895-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRALEY",
        "first_name": "JONATHAN",
        "middle_name": "G",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50002345",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "1197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "PA25814",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "PA25815",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075450",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta Junction, AK

Sources for this page

Verify at the official NPI Registry.