ELISE MICHELLE SHAHAN FNP-C
NPI 1356148647
Nurse Practitioner - Family in Fairbanks, AK
About Elise Michelle Shahan Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISE MICHELLE SHAHAN FNP-C (NPI 1356148647) is an individual family provider in Fairbanks, Alaska, licensed in Alaska (233874) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elise Michelle Shahan Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elise Shahan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairbanks, AK 99709
- Reassigned Medicare billing, Alaska enrollment
- 9 clinicians in this Medicare group
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 99709 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elise Shahan's NPI number?
The NPI number for Elise Shahan is 1356148647. It was assigned to this individual provider in the NPPES registry on February 25, 2025.
Where is Elise Shahan located?
Elise Shahan practices at 1353 W Chena Hills Dr, Fairbanks, AK 99709. The listed phone number is (907) 750-9620.
What is Elise Shahan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Elise Shahan enrolled in Medicare?
Yes. Elise Shahan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Elise Shahan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elise Shahan reassigns Medicare benefits to Alpine Medical Group LLC (Fairbanks, AK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elise Shahan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elise Shahan accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Elise Shahan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Elise Shahan was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Elise Michelle Shahan, FNP-C · NPI 1356148647
Family physician in Fairbanks, Alaska. Individual provider, active in the CMS NPPES registry since February 25, 2025.
## Identity
- **NPI:** 1356148647 (Entity type: Individual)
- **Enumerated:** February 25, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 233874 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 1353 W CHENA HILLS DR, Fairbanks, AK 99709-5752
- **Phone:** (907) 750-9620
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Alpine Medical Group LLC (NPI 1114681608, Fairbanks, AK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1356148647) · Data from the CMS NPPES public registry.