Individual provider Active NPI

Lori D Conklin, M.D.

  • Anesthesiology Physician
  • Fairbanks, AK
National Provider Identifier
1659350122
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
179267 Issued in AK
Practice address
1650 Cowles St
Fairbanks, AK 99701-5998
Phone
(907) 458-3000
Fax
(907) 458-5694
NPI assigned
Jan 12, 2006
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X L1007 TX
Anesthesiology Physician 207L00000X 179267 AK Primary

Addresses

Primary practice location

1650 Cowles St
Fairbanks, AK 99701-5998

Mailing address

PO Box 73720
Fairbanks, AK 99707-3720
Phone (907) 458-3000

Other practice location 1

500 W 4th St
Odessa, TX 79761-5001
Phone (432) 640-4000

Other practice location 2

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 228-5171

Other identifiers 1

IdentifierTypeStateIssuer
1723344MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA, AK, WV4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20040611000376 TX Practitioner - AnesthesiologyPractitioner - Emergency MedicinePractitioner - General Surgery 1052394897 Reassigns benefits to 5 organizations
I20070228000507 VA Practitioner - Anesthesiology 1052394897 Reassigns benefits to 2 organizations
I20211021002229 AK Practitioner - Anesthesiology 1052394897 Reassigns benefits to 4 organizations
I20231019000124 WV Practitioner - Anesthesiology 1052394897

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical School at Houston, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tanana Valley Clinic LLCGroup PAC ID 5698056901, 142 clinicians
Denali Anesthesia LLCGroup PAC ID 2567455678, 25 clinicians
HSS Anesthesia LLCGroup PAC ID 2567931389, 13 clinicians

Practice addresses (Care Compare)

1650 Cowles St
Fairbanks, AK 99701-5907
Phone (907) 459-3500

2801 Debarr Rd
Anchorage, AK 99508-2932
Phone (907) 276-1257

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Sep 18, 2006 Accepting new patients
Tanana Valley Clinic LLC CurrentSince Dec 30, 2025 Accepting new patients
Jackson County Hospital District Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients
Bath County Community Hospital CurrentSince Aug 1, 2017 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Sep 9, 2024 Accepting new patients
MCH Professional Care Hospital Based Anesthesiology CurrentSince Mar 1, 2025 Accepting new patients
Denali Anesthesia, LLC Anesthesiology CurrentSince Jan 28, 2026 Accepting new patients
Austin Anesthesiology Group PLLC Anesthesiology CurrentSince Feb 17, 2025 Accepting new patients
Austin Anesthesiology Group, PLLC Anesthesiology CurrentSince Feb 17, 2025 Accepting new patients
Providence Anchorage Anesthesia Medical Group, P.C. Anesthesiology CurrentSince Nov 1, 2021 Accepting new patients
Jackson County Hospital District CurrentSince Oct 1, 2015 Accepting new patients
Tanana Valley Clinic LLC CurrentSince Dec 30, 2025 Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients
Ascension Seton Past Accepting new patients
Bellville Hospital District Emergency Medicine Past Accepting new patients
Bellville Medical Center Surgery PastSince Aug 6, 2019 Accepting new patients
Sabine County Hospital District Emergency Medicine Past Accepting new patients
Memorial Hospital of Polk County PastSince Jan 1, 2002 Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients
Smithville Hospital Authority Past Accepting new patients
Southwest Medical Associates, Inc. Emergency Medicine Past Accepting new patients

Locations

2801 Debarr Rd
Anchorage, AK 99508
Phone (907) 264-1222

3300 Providence Dr
Ste 207
Anchorage, AK 99508
Phone (907) 279-0555

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

1001 Noble St
Fairbanks, AK 99701
Phone (907) 276-2806

1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

1013 S Wells St
Edna, TX 77957
Phone (361) 782-5241

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

Interoperability endpoints

  • Direct secure messaging: lconklin747929@direct.peacehealth.org

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 3

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1659350122",
    "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": "907-458-3000",
            "fax_number": "907-458-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015998",
            "telephone_number": "907-458-3000",
            "fax_number": "907-458-5694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797615001",
            "country_code": "US",
            "telephone_number": "432-640-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Tongass Ave",
            "address_purpose": "LOCATION",
            "city": "Ketchikan",
            "state": "AK",
            "postal_code": "999015746",
            "country_code": "US",
            "telephone_number": "907-228-5171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "LORI",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L1007",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AK",
            "license": "179267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1723344",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.