MR. NATHAN FITZGERALD (PA-C) – Medical Physician Assistant, NPI 1043738461

MR. NATHAN FITZGERALD (PA-C) is a healthcare provider. based in Wasilla, Alaska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 123843 (AK). The NPI Number for MR. NATHAN FITZGERALD (PA-C) is 1043738461

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MR. NATHAN FITZGERALD (PA-C)
NPI
1043738461
Phone
(907) 864-8284
Address
22301 W ALSOP RD
Enumeration Date
6 September 2017
Last Update Date
28 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9072350310
Graduation Year
2017 (9 years ago)
PAC ID
5496021719
Group Practice PAC ID
2567351513
Professional Enrollment ID
I20171031002860
Address ID
AK996037015HO4201XSTXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

553 PHYSICIAN ASSISTANT in AK

Provider Addresses for MR. NATHAN FITZGERALD (PA-C)

  • 22301 W ALSOP RD

    WASILLA, AK 996235023

    Phone: (907) 864-8284

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $366.

Total Amount is formed as General ($366) + Research ($0) + Ownership ($0) = $366.

Last reported payment date: 2024-10-04 • Largest payer in this snapshot: ABBVIE INC. ($105).

Total Amount

$366

General + Research + Ownership

Payments

10

Total payment records

General Amount

$366

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171031002860IPhysician AssistantAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81001Manual urinalysis test with examination using microscope, automated251224$0
51798Ultrasound measurement of bladder capacity after voiding220191$0
99214Established patient office or other outpatient visit, 30-39 minutes199181$0
99213Established patient office or other outpatient visit, 20-29 minutes162148$0
J9217Leuprolide acetate (for depot suspension), 7.5 mg13220$0
View full utilization report →

Insurance plans in this area (ZIP 99623)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567351513View full group profile
NameSpecialtyState
Physician AssistantAK
Physician AssistantWA
U R O L O G YAK
Physician AssistantAK
Nurse PractitionerAK
U R O L O G YTX
Physician AssistantAK
U R O L O G YAZ
Physician AssistantAK
U R O L O G YAK

Reviews

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Frequently asked questions

What is the standard ID for MR. NATHAN FITZGERALD (PA-C) in the U.S.?
In the U.S., MR. NATHAN FITZGERALD (PA-C) is identified by NPI 1043738461.
Does the public listing show MR. NATHAN FITZGERALD (PA-C) as active?
MR. NATHAN FITZGERALD (PA-C)'s NPI record reflects an active status in NPPES.
What services align with MR. NATHAN FITZGERALD (PA-C)'s listing?
MR. NATHAN FITZGERALD (PA-C)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MR. NATHAN FITZGERALD (PA-C) tied to Wasilla, Alaska?
If you are local to Wasilla, Alaska, MR. NATHAN FITZGERALD (PA-C) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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