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

Katherine E Cammack, PNP

Individual provider Nurse Practitioner · NPI 1588009187

Katherine E Cammack, PNP is a Nurse Practitioner in Fairbanks, Alaska. Qualified in 2017, 9 years ago. Practices with Gold Star Longevity and Wellness LLC, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nevada.

Years since qualifying
9
Licensed in
NV
In the registry since
2013
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

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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

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN001934 (NV)

Record details

NPI number1588009187
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedMay 8, 2013
Last updated in NPPESApril 21, 2021
Certification dateApril 21, 2021
Mailing address1717 W Cowles St, Fairbanks, AK 99701-5926

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Gold Star Longevity And Wellness Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Fairbanks