MRS. ALYSEN CYNTHIA MONTAGUE FNP-C
NPI 1093607780
Nurse Practitioner - Family in Fairbanks, AK

Q: What is Alysen Montague's NPI number?

The NPI number for Alysen Montague is 1093607780. It was assigned to this individual provider in the NPPES registry on July 17, 2025.

Q: What is Alysen Montague's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Alysen Montague was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 17, 2025PECOS Enrolled

2054 30TH AVE, FAIRBANKS, AK 99701(907) 455-4555 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mrs. Alysen Cynthia Montague Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ALYSEN CYNTHIA MONTAGUE FNP-C (NPI 1093607780) is an individual family provider in Fairbanks, Alaska, licensed in Alaska (242273) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1093607780

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. ALYSEN CYNTHIA MONTAGUECredential: FNP-C

Location Address2054 30TH AVEFairbanks, AK 99701-7316

Mailing Address1816 Blackburn WayNorth Pole, AK 99705-7330 · (919) 720-3431

Phone(907) 455-4555

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 17, 2025

NPPES CertifiedJuly 16, 2025

✔ NPI 1093607780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AK · 242273

2054 30TH AVE, Fairbanks, AK 99701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Alysen Cynthia Montague Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880196195

PECOS Enrollment IDI20250905003590

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Alysen Montague reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alpine Medical Group LLC

1.8 mi

Family

605 CHIEF THOMAS DR
Fairbanks, AK 99709

Reassigned Medicare billing, Alaska enrollment
9 clinicians in this Medicare group

NPI 1114681608 (907) 455-4555

Gold Star Longevity & Wellness LLC

2.1 mi

Family Medicine

751 OLD RICHARDSON HWY STE 200
Fairbanks, AK 99701

Reassigned Medicare billing, Alaska enrollment
8 clinicians in this Medicare group

NPI 1427532613 (907) 457-9420

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$111.57 typical visit price

range $71.33 – $222.64

Typical copayment $27.89 (range $17.83 – $55.66)

Most-billed visit code 99203

Established Patient

$128.73 typical visit price

range $21.84 – $181.48

Typical copayment $32.18 (range $5.46 – $45.37)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILIP MARC BRUNETTI MD

Ophthalmology