Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alpine Medical Group LLC

Organization Family Medicine Physician · NPI 1114681608

Alpine Medical Group LLC is a Family Medicine Physician in Fairbanks, Alaska. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

605 Chief Thomas Dr
Fairbanks, AK 99709-4848
Phone: (907) 455-4555
Fax: (833) 941-2349
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2054 30th Ave, Fairbanks, AK 99701-7316 — (907) 455-4555

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Family Medicine Physician Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1114681608
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Haley Evens — Authorized Official · (907) 455-4555
NPI enumeratedOctober 29, 2021
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025
Mailing address605 Chief Thomas Dr, Fairbanks, AK 99709-4848

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