NPIMap

Individual provider Active NPI

Jennifer Anne Fayette, PA-C

  • Medical Physician Assistant
  • Anchorage, AK
National Provider Identifier
1851799027
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PADA1232 Issued in AK
Practice address
3851 Piper St Ste U462
Anchorage, AK 99508-6905
Phone
(907) 562-6262
Fax
(907) 562-6267
NPI assigned
Dec 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PADA1232 AK Primary

Addresses

Primary practice location

3851 Piper St Ste U462
Anchorage, AK 99508-6905

Mailing address

3851 Piper St Ste U462
Anchorage, AK 99508-6905
Phone (907) 562-6262

Other identifiers 2

IdentifierTypeStateIssuer
13976534OtherCAQH
1627131MedicaidAK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150218000867 AK Practitioner - Physician Assistant 7618292525 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Alaska Breast Care and Surgery LLCGroup PAC ID 9032211073, 5 clinicians
Anchorage Fracture and Orthopaedic Clinic PCGroup PAC ID 7517914187, 33 clinicians

Practice addresses (Care Compare)

3851 Piper St
Suite U462
Anchorage, AK 99508-6905
Phone (907) 562-6262

4100 Lake Otis Pkwy
Anchorage, AK 99508-5230
Phone (907) 563-3145

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PADA1232AKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorage Fracture and Orthopaedic Clinic, PC CurrentSince Nov 1, 2025 Accepting new patients
Medical Network of Alaska, LLC Current Accepting new patients
Medical Network of Alaska, LLC CurrentSince Sep 15, 2025 Accepting new patients
Medical Network of Alaska, LLC Current Accepting new patients
Anchorage Fracture and Orthopaedic Clinic, PC CurrentSince Nov 1, 2025 Accepting new patients
Medical Network of Alaska, LLC CurrentSince Sep 15, 2025 Accepting new patients
Orthoalaska LLC PastSince Jan 21, 2024 Accepting new patients
Alaska Shoulder and Orthopaedic Institute PastSince Sep 1, 2022 Accepting new patients

Locations

12350 Industry Way
Ste 110
Anchorage, AK 99515
Phone (907) 206-9114

4100 Lake Otis Pkwy
Ste 220
Anchorage, AK 99508

3331 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 357-2332

3122 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 864-4625

Interoperability endpoints

  • Direct secure messaging: jennifer.fayette.1@33745.direct.athenahealth.com
  • Direct secure messaging: jennifer.fayette.1@22556.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jennifer.fayette.1@27294.direct.athenahealth.com

Organizations & group practices 9

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1851799027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 PIPER ST STE U462",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086905",
            "telephone_number": "907-562-6262",
            "fax_number": "907-562-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 PIPER ST STE U462",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086905",
            "telephone_number": "907-562-6262",
            "fax_number": "907-562-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYETTE",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-19",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "PADA1232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13976534",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1627131",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.