Active NPI
Sarah Elizabeth Evans, APRN, NP
- Pediatric Nurse Practitioner
- Fairbanks, AK
National Provider Identifier
1790453140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 179526
- Practice address
- 3550 Airport Way Ste 4
Fairbanks, AK 99709-4772 - Phone
- (907) 479-2331
- NPI assigned
- Sep 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 179526 | AK | Primary |
Addresses
Primary practice location
3550 Airport Way Ste 4
Fairbanks, AK 99709-4772
Mailing address
5240 Hardland Ave
Fairbanks, AK 99709-4529
Phone (520) 784-3463
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpine Medical Group LLC | Pediatrics | Current | Accepting new patients |
Locations
2054 30th Ave
Fairbanks, AK 99701
Phone (907) 455-4555
605 Chief Thomas Dr
Fairbanks, AK 99709
Phone (907) 455-4555
Organizations & group practices 1
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": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1790453140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5240 HARDLAND AVE",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997094529",
"telephone_number": "520-784-3463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 AIRPORT WAY STE 4",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997094772",
"telephone_number": "907-479-2331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "APRN, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AK",
"license": "179526",
"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 Sep 1, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.