Active NPI
Jeanne Bamrick Debono, MD
- Obstetrics & Gynecology Physician
- Fairbanks, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 242705
- Practice address
- 1650 Cowles St
Fairbanks, AK 99701-5907 - Phone
- (907) 458-2794
- Fax
- (907) 459-3542
- NPI assigned
- Jul 12, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301066374 | MI | |
| Obstetrics & Gynecology Physician | 207V00000X | 242705 | AK | Primary |
Addresses
Primary practice location
1650 Cowles St
Fairbanks, AK 99701-5907
Mailing address
PO Box 73720
Fairbanks, AK 99707-3720
Phone (907) 458-2794
Other practice location 1
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7500
Other practice location 2
46325 W. Twelve Mile Road
Suite 250
Novi, MI 48377
Phone (248) 465-1200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1758938 | Medicaid | AK | |
| 4112435710 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdebono459728@direct.beaumont.edu |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Wayne State University School of Medicine, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1650 Cowles St
Fairbanks, AK 99701-5998
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242705 | AK | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanana Valley Clinic LLC | Current | Accepting new patients | |
| Tanana Valley Clinic LLC | Current | Accepting new patients |
Locations
1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181
1001 Noble St
Fairbanks, AK 99701
Phone (907) 276-2806
Interoperability endpoints
- jdebono1124766@direct.hfhs.org
- jdebono459728@direct.beaumont.edu
- jeanne.debono@mahwhc.eclinicaldirectplus.com
- jeanne.debono.p1@direct.tananavalley.nextgenshare.com
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.
-
- Multi-Specialty Clinic/Center
- Fairbanks, AK
- NPI 1922559558
-
- Multi-Specialty Clinic/Center
- Fairbanks, AK
- NPI 1073081485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1447258512",
"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": "907-458-2794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COWLES ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997015907",
"telephone_number": "907-458-2794",
"fax_number": "907-459-3542"
}
],
"practiceLocations": [
{
"address_1": "18101 Oakwood Blvd",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "481244089",
"country_code": "US",
"telephone_number": "313-593-7500",
"fax_number": "313-593-8840",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "46325 W. Twelve Mile Road",
"address_2": "Suite 250",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "48377",
"country_code": "US",
"telephone_number": "248-465-1200",
"fax_number": "248-465-2850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEBONO",
"first_name": "JEANNE",
"middle_name": "BAMRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301066374",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AK",
"license": "242705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1758938",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4112435710",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdebono459728@direct.beaumont.edu",
"affiliation": "N",
"address_1": "18101 Oakwood Blvd",
"city": "Dearborn",
"state": "MI",
"country_code": "US",
"postal_code": "481244089",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 17, 2026; 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.