Active NPI
Toula Farnsworth, PA-C
- Physician Assistant
- Fairbanks, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 240759
- Practice address
- 1650 Cowles St
Fairbanks, AK 99701-5907 - Phone
- (907) 452-8181
- NPI assigned
- Apr 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Medical Technicians | 1710I1003X | AK | ||
| Physician Assistant | 363A00000X | 240759 | AK | Primary |
Addresses
Primary practice location
1650 Cowles St
Fairbanks, AK 99701-5907
Mailing address
1650 Cowles St
Fairbanks, AK 99701-5907
Phone (907) 458-6450
Other practice location 1
2612 Central Ave
Eielson AFB, AK 99702-2301
Phone (907) 377-8940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1757170 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250805003851 | AK | Practitioner - Physician Assistant | 7719495134 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Northwestern University Feinberg Medical School, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fairbanks Memorial Cardiology Center LLC
Practice addresses (Care Compare)
1650 Cowles St
Fairbanks, AK 99701-5907
Phone (907) 458-6450
1650 Cowles St
Fairbanks, AK 99701-5998
Hospital & facility affiliations
- Fairbanks Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240759 | AK | MD | Physician Assistant |
Interoperability endpoints
- toula.farnsworth.p1@direct.porterheart.nextgenshare.com
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.
-
- Multi-Specialty Clinic/Center
- Fairbanks, AK
- NPI 1386193472
AK
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1982284964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 COWLES ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997015907",
"telephone_number": "907-458-6450",
"fax_number": "907-458-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COWLES ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997015907",
"telephone_number": "907-452-8181"
}
],
"practiceLocations": [
{
"address_1": "2612 Central Ave",
"address_purpose": "LOCATION",
"city": "Eielson AFB",
"state": "AK",
"postal_code": "997022301",
"country_code": "US",
"telephone_number": "907-377-8940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARNSWORTH",
"first_name": "TOULA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-13",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1003X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Medical Technicians",
"state": "AK",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AK",
"license": "240759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1757170",
"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 Feb 17, 2026; 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.