Individual provider Active NPI

Agnes Barcinas

  • Licensed Practical Nurse
  • Fairbanks, AK
National Provider Identifier
1689540700
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
212709 Issued in AK
Practice address
710 3Rd Ave
Fairbanks, AK 99701-4455
Phone
(907) 452-4222
NPI assigned
Oct 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 212709 AK Primary

Addresses

Primary practice location

710 3Rd Ave
Fairbanks, AK 99701-4455

Mailing address

710 3Rd Ave
Fairbanks, AK 99701-4455
Phone (907) 452-4222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
212709AKMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Interior AIDS Association CurrentSince Oct 21, 2025 Accepting new patients
Interior AIDS Association PastSince Oct 21, 2025 Accepting new patients

Locations

710 3rd Ave
Fairbanks, AK 99701
Phone (907) 452-2222

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.

NPI Registry JSON

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1689540700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 3RD AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014455",
            "telephone_number": "907-452-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 3RD AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014455",
            "telephone_number": "907-452-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCINAS",
        "first_name": "AGNES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AK",
            "license": "212709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.