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

Mitchell Ryan Andreas, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1205301421

Mitchell Ryan Andreas, PHYSICIANASSISTANT is a Physician Assistant in Fort Wainwright, Alaska. Graduated from University of Nebraska College of Medicine in 2018, 8 years ago. Works from 2 locations. Licensed in Alaska.

Years since qualifying
8
Trained at
University of Nebraska College of Medicine
Licensed in
AK
In the registry since
2018

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

4076 Neely Rd; Bldg 4076; Rm 1B-201
Fort Wainwright, AK 80906-4102
Phone: (907) 361-4000
Show map & directions

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

Additional practice locations (1)

  • 1919 Lathrop St, Fairbanks, AK 99701-5937 — (907) 459-3545

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 233899 (AK)

Record details

NPI number1205301421
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 4, 2018
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026
Mailing address4076 Neely Road, Fort Wainwright, AK 99703

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Fort Wainwright