Individual provider Active NPI

Fiona Jae Teilborg, PA-C

  • Dermatology Physician
  • Anchorage, AK
National Provider Identifier
1609742246
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
236973 Issued in AK
Practice address
2401 E 42ND Ave Ste 301
Anchorage, AK 99508-5228
Phone
(907) 621-9798
NPI assigned
Oct 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 236973 AK Primary

Addresses

Primary practice location

2401 E 42ND Ave Ste 301
Anchorage, AK 99508-5228

Mailing address

4307 Needle Cir
Anchorage, AK 99508-5139
Phone (907) 227-9416

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
I20260127002572 AK Practitioner - Physician Assistant 2466939954 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jayne S Fortson MDGroup PAC ID 0749273092, 2 clinicians
Dermatology and Dermatopathology of Alaska LLCGroup PAC ID 4789192790, 2 clinicians

Practice addresses (Care Compare)

2401 E 42ND Ave
Suite 301
Anchorage, AK 99508-5228
Phone (907) 563-3204

Hospital & facility affiliations

  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
236973AKMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jayne S Fortson, MD Dermatology CurrentSince Jan 14, 2026 Accepting new patients
Dermatology and Dermatopathology of Alaska LLC CurrentSince Jan 14, 2026 Accepting new patients

Locations

2401 E 42nd Ave
Ste 301
Anchorage, AK 99508
Phone (907) 563-3204

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1609742246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 NEEDLE CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085139",
            "telephone_number": "907-227-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E 42ND AVE STE 301",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085228",
            "telephone_number": "907-621-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEILBORG",
        "first_name": "FIONA",
        "middle_name": "JAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AK",
            "license": "236973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.