DR. ALENA ROSE ANDERSON (M.D.) – Emergency Medicine Physician, NPI 1992770408

DR. ALENA ROSE ANDERSON (M.D.) is a healthcare provider. based in Fairbanks, Alaska. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 3739 (AK). The NPI Number for DR. ALENA ROSE ANDERSON (M.D.) is 1992770408

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALENA ROSE ANDERSON (M.D.)
NPI
1992770408
Phone
(907) 459-3500
Address
1001 NOBLE ST
Enumeration Date
18 February 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Secondary Phone
9074563876
Graduation Year
1992 (34 years ago)
PAC ID
3274568159
Group Practice PAC ID
1759535453
Professional Enrollment ID
I20050929000103
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ALENA ROSE ANDERSON (M.D.)

  • 1001, Noble Street, South Fairbanks, Fairbanks, Fairbanks North Star, Alaska, 99701, United States

    FAIRBANKS, AK 997014922

    Phone: (907) 459-3500

    Fax: (907) 458-2628

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-09-29

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
I20050929000103IEmergency MedicineAKTBD

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
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 99701)

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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: 1759535453View full group profile
NameSpecialtyState
-AK
Physician AssistantAK
N E U R O S U R G E R YAK

Reviews

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Frequently asked questions

Is there an official ID for DR. ALENA ROSE ANDERSON (M.D.) in U.S. healthcare records?
The official identifier for DR. ALENA ROSE ANDERSON (M.D.) is NPI 1992770408.
Would DR. ALENA ROSE ANDERSON (M.D.) appear as active to a payer?
You can treat DR. ALENA ROSE ANDERSON (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. ALENA ROSE ANDERSON (M.D.)'s focus?
For DR. ALENA ROSE ANDERSON (M.D.), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. ALENA ROSE ANDERSON (M.D.) located near Fairbanks?
DR. ALENA ROSE ANDERSON (M.D.) currently maps to Fairbanks, Alaska in this extract.
Does DR. ALENA ROSE ANDERSON (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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