Individual provider Active NPI

Elizabeth Easley Decker, PA-C

  • Physician Assistant
  • Fairbanks, AK
National Provider Identifier
1912160854
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PADA1071 Issued in AK
Practice address
3419 Airport Way Ste D
Fairbanks, AK 99709-4765
Phone
(907) 328-0567
Fax
(907) 328-0568
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PADA1071 AK Primary

Addresses

Primary practice location

3419 Airport Way Ste D
Fairbanks, AK 99709-4765

Mailing address

3419 Airport Way Ste D
Fairbanks, AK 99709-4765
Phone (907) 328-0567

Other names 1

  • Elizabeth Anne Easley Former name

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
PADA1071AKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mayer Clinic Incorporated PastSince Jun 1, 2006 Accepting new patients

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1912160854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 AIRPORT WAY STE D",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094765",
            "telephone_number": "907-328-0567",
            "fax_number": "907-328-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 AIRPORT WAY STE D",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094765",
            "telephone_number": "907-328-0567",
            "fax_number": "907-328-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "ELIZABETH",
        "middle_name": "EASLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "PADA1071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "EASLEY",
            "middle_name": "ANNE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 25, 2026; 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.