Active NPI
Carrie Lynn Conley, P.A.-C
- Physician Assistant
- Fairbanks, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PADA996
- Practice address
- 751 Old Richardson Hwy Ste 200
Fairbanks, AK 99701-7805 - Phone
- (907) 457-9420
- Fax
- (907) 457-1098
- NPI assigned
- Oct 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA60188305 | WA | |
| Physician Assistant | 363A00000X | PADA996 | AK | Primary |
Addresses
Primary practice location
751 Old Richardson Hwy Ste 200
Fairbanks, AK 99701-7805
Mailing address
751 Old Richardson Hwy Ste 200
Fairbanks, AK 99701-7805
Phone (907) 457-9420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1597181 | Medicaid | AK |
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
145 S Santa Claus LN
North Pole, AK 99705-7754
Phone (907) 488-4433
751 Old Richardson Hwy
Suite 200
Fairbanks, AK 99701-7805
Phone (907) 457-9420
Hospital & facility affiliations
- Fairbanks Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.86 of 100
- Quality
- 94.88
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA60188305 | WA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanana Valley Clinic LLC | Current | Accepting new patients | |
| Tanana Valley Clinic LLC | Current | Accepting new patients | |
| Midnight Sun Family Medicine, PC | Past | Accepting new patients | |
| Solstice Medicine & Wellness, LLC | Past | Accepting new patients |
Locations
1919 Lathrop St
Ste 106
Fairbanks, AK 99701
Phone (907) 445-7123
1001 Noble St
Fairbanks, AK 99701
Phone (907) 276-2806
1101 Noble St
Fairbanks, AK 99701
Phone (907) 458-2648
Interoperability endpoints
- carrie.conley.1@19690.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Fairbanks, AK
- NPI 1427532613
-
- Multi-Specialty Clinic/Center
- Fairbanks, AK
- NPI 1922559558
-
- Multi-Specialty Clinic/Center
- Fairbanks, AK
- NPI 1073081485
-
- Family Medicine Physician
- Fairbanks, AK
- NPI 1780704494
-
- Medical Specialty Clinic/Center
- Fairbanks, AK
- NPI 1710347349
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairbanks, AK
- NPI 1720537178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1942500541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 OLD RICHARDSON HWY STE 200",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997017805",
"telephone_number": "907-457-9420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 OLD RICHARDSON HWY STE 200",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997017805",
"telephone_number": "907-457-9420",
"fax_number": "907-457-1098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "CARRIE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "P.A.-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-28",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA60188305",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AK",
"license": "PADA996",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1597181",
"state": "AK"
}
],
"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 Jul 1, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.