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

Carly Dale McQueen, PA-C

Individual provider Physician Assistant · NPI 1235718735

Carly Dale McQueen, PA-C is a Physician Assistant in Fairbanks, Alaska. Qualified in 2012, 14 years ago. Practices with Tanana Chiefs Conference, a 149-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
14
Licensed in
AK
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1717 W Cowles St
Fairbanks, AK 99701-5926
Phone: (907) 451-6682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 184346 (AK)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1235718735
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 3, 2021
Last updated in NPPESJanuary 31, 2024
Certification dateJanuary 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Tanana Chiefs Conference — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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