Individual provider Active NPI

Jennifer Bingaman, RNFA

  • Registered Nurse First Assistant
  • North Pole, AK
National Provider Identifier
1952064784
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
NURR34542 Issued in AK
Practice address
2073 Mavencamp Cir
North Pole, AK 99705-6574
Phone
(907) 385-7625
NPI assigned
Oct 19, 2021
Reactivated
Apr 7, 2022
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X NURR34542 AK Primary

Addresses

Primary practice location

2073 Mavencamp Cir
North Pole, AK 99705-6574

Mailing address

2073 Mavencamp Cir
North Pole, AK 99705-6574
Phone (907) 385-7625

Other names 1

  • Jennifer Hovey 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
NURR34542AKMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Surgical First Assist LLC Registered Nurse First Assistant CurrentSince Oct 24, 2021 Accepting new patients

Locations

2310 Peger Rd
Fairbanks, AK 99709
Phone (907) 458-7263

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1952064784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 MAVENCAMP CIR",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997056574",
            "telephone_number": "907-385-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 MAVENCAMP CIR",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997056574",
            "telephone_number": "907-385-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGAMAN",
        "first_name": "JENNIFER",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "deactivation_date": "2021-10-21",
        "reactivation_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "AK",
            "license": "NURR34542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HOVEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Pole, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.