Individual provider Active NPI

Ruth Rosentreter

  • Family Nurse Practitioner
  • Fairbanks, AK
National Provider Identifier
1770146698
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
144200 Issued in AK
Practice address
575 Riverstone Way Unit 1
Fairbanks, AK 99709-2939
Phone
(907) 450-3300
NPI assigned
Apr 16, 2019
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 144200 AK Primary

Addresses

Primary practice location

575 Riverstone Way Unit 1
Fairbanks, AK 99709-2939

Mailing address

PO Box 10292
Fairbanks, AK 99710-0292

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
I20220418000568 AK Practitioner - Nurse Practitioner 2961899158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

24091 W Long Lake Rd
Willow, AK 99688-0519
Phone (907) 495-4100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
144200AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Community Health Center Inc CurrentSince Apr 1, 2022 Accepting new patients
Sunshine Community Health Center Inc Current Accepting new patients
Sunshine Community Health Center, Inc CurrentSince Apr 1, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ruth.rosentreter.1@27018.direct.athenahealth.com

Organizations & group practices 3

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.

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": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1770146698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10292",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997100292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 RIVERSTONE WAY UNIT 1",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997092939",
            "telephone_number": "907-450-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTRETER",
        "first_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "144200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.