Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Roger Logan Estelle, PA-C

Individual provider Physician Assistant · NPI 1659079010

Roger Logan Estelle, PA-C is a Physician Assistant in Fairbanks, Alaska. Qualified in 2022, 4 years ago. Practices with Tanana Chiefs Conference, a 149-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
4
Licensed in
AK
In the registry since
2023
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) 452-8251
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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 200560 (AK)

Record details

NPI number1659079010
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 15, 2023
Last updated in NPPESFebruary 27, 2023
Certification dateFebruary 27, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tanana Chiefs Conference — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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