Active NPI
Sarah Calumbine Pegouskie, APRN, FNP
- Nurse Practitioner
- Fairbanks, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 196730
- Practice address
- 1717 W Cowles St
Fairbanks, AK 99701-5926 - Phone
- (907) 451-6682
- NPI assigned
- Jun 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | P095433 | NC | |
| Critical Care Medicine Registered Nurse | 163WC0200X | 163754 | AK | |
| Registered Nurse | 163W00000X | 163754 | AK | |
| Registered Nurse | 163W00000X | 296823 | NC | |
| Nurse Practitioner | 363L00000X | 196730 | AK | Primary |
Addresses
Primary practice location
1717 W Cowles St
Fairbanks, AK 99701-5926
Mailing address
1099 Tena Ave
Fairbanks, AK 99701-1422
Phone (989) 390-2962
Other names 1
- Mrs. Sarah Calumbine Pegouskie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bristol Bay Area Health Corporation
Practice addresses (Care Compare)
1717 W Cowles St
Fairbanks, AK 99701-5926
Phone (907) 451-6682
6000 Kanakanak Rd
Dillingham, AK 99576-0130
Phone (907) 842-5201
P O Box
Dillingham, AK 99576-0130
PO Box
Suite 130
Dillingham, AK 99576-0130
Phone (907) 842-5201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P095433 | NC | MD | Paramedic |
| 163754 | AK | MD | Registered Nurse |
| 296823 | NC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanana Chiefs Conference | Current | Accepting new patients | |
| Tanana Chiefs Conference | Current | Accepting new patients |
Locations
1717 W Cowles St
Fairbanks, AK 99701
Phone (907) 452-6682
Interoperability endpoints
- sarah.hamilton.1@15989.direct.athenahealth.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.
-
- 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": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1558091587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1099 TENA AVE",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997011422",
"telephone_number": "989-390-2962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 W COWLES ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997015926",
"telephone_number": "907-451-6682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEGOUSKIE",
"first_name": "SARAH",
"middle_name": "CALUMBINE",
"credential": "APRN, FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-13",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "NC",
"license": "P095433",
"primary": false
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "AK",
"license": "163754",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AK",
"license": "163754",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "296823",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AK",
"license": "196730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "PEGOUSKIE",
"middle_name": "CALUMBINE",
"prefix": "MRS.",
"credential": "APRN, FNP",
"code": "2",
"type": "Professional Name"
}
]
}
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 Jul 16, 2025; 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.