FAIRBANKS NORTH STAR BOROUGH – Land Ambulance, NPI 1720039076

FAIRBANKS NORTH STAR BOROUGH is a healthcare provider. based in Fairbanks, Alaska. specializing in Land Ambulance. The organization holds a License No. 0230 (AK). The NPI Number for FAIRBANKS NORTH STAR BOROUGH is 1720039076

Main info

Organization
Name
FAIRBANKS NORTH STAR BOROUGH
NPI
1720039076
Phone
(907) 459-8200
Address
PO BOX 71122
Authorized Official
BRAD PAULSON EMERGENCY SERVICES ADMINISTRATOR
Enumeration Date
12 May 2006
Last Update Date
3 August 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for FAIRBANKS NORTH STAR BOROUGH

  • PO BOX 71122

    FAIRBANKS, AK 997071122

    Phone: (907) 459-8200

    Fax: (907) 459-8201

    Type: Mailing

  • 3175, Peger Road, Fairbanks, Fairbanks North Star, Alaska, 99709, United States

    FAIRBANKS, AK 997095454

    Phone: (907) 459-1481

    Type: Location

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: 2006-11-16

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
O20061116000341OAmbulance Service SupplierAKTBD

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
A0425Ground mileage, per statute mile82,459578$0
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)654462$0
A0429Ambulance service, basic life support, emergency transport (bls-emergency)178151$0
A0433Advanced life support, level 2 (als 2)1313$0
View full utilization report →

Insurance plans in this area (ZIP 99707)

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Reviews

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Frequently asked questions

Does FAIRBANKS NORTH STAR BOROUGH share an NPI with anyone else?
NPI numbers are unique to each provider or organization — FAIRBANKS NORTH STAR BOROUGH uses 1720039076.
Is FAIRBANKS NORTH STAR BOROUGH still practicing?
FAIRBANKS NORTH STAR BOROUGH is currently listed as active in the public NPI registry.
What is FAIRBANKS NORTH STAR BOROUGH best known for clinically?
Directory data describes FAIRBANKS NORTH STAR BOROUGH with Land Ambulance. Clinical services aligned with this taxonomy classification.
What address line appears for FAIRBANKS NORTH STAR BOROUGH?
FAIRBANKS NORTH STAR BOROUGH's geographic hint is Fairbanks, Alaska in our summary view.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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