ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES INC.
NPI 1366388423
Clinical Nurse Specialist - Psychiatric/Mental Health in Fairbanks, AK

Active since April 28, 2026
1300 MOORE ST, FAIRBANKS, AK 99701(907) 563-1000(907) 375-3142 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Anchorage Community Mental Health Services Inc. NPPES

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

ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES INC. (NPI 1366388423) is a healthcare organization registered as a psychiatric/mental health in Fairbanks, Alaska and active in the NPI registry since April 2026. The organization lists Ashley Evenson, Rcm, as its authorized official.

NPPES Registry Identity

NPI1366388423
Entity TypeOrganization
Primary Taxonomy364SP0808X
Legal Business NameANCHORAGE COMMUNITY MENTAL HEALTH SERVICES INC.
Location Address1300 MOORE STFairbanks, AK 99701-5761
Mailing Address1300 Moore StFairbanks, AK 99701-5761 · (907) 563-1000 · Fax (907) 375-3142
Fax(907) 375-3142
Organization SubpartNo
Authorized OfficialAshley EvensonRcm · (907) 261-5317
Enumeration DateApril 28, 2026
NPPES CertifiedApril 28, 2026
✔ NPI 1366388423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0808X
1300 MOORE ST, Fairbanks, AK 99701

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anchorage Community Mental Health Services Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

42

Medicare enrollment records show 42 clinicians reassign Medicare billing to Anchorage Community Mental Health Services Inc., which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner19
Mental Health Counselor12
Clinical Social Worker8
Marriage and Family Therapist2
Psychiatry1

Nearest to this location (20)

See all 42
Mental Health Counselor
NPI 1215612965
1423 PEGER RD
Fairbanks, AK 99709
(907) 371-1300
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1487319869
1423 PEGER RD
Fairbanks, AK 99709
(907) 371-1300
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1053807073
1423 PEGER RD
Fairbanks, AK 99709
(907) 563-1000
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1659919447
1423 PEGER RD
Fairbanks, AK 99709
(907) 371-1300
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1215419239
1423 PEGER RD
Fairbanks, AK 99709
(907) 452-8251
✔ PECOS✔ Accepts Medicare0.2 mi
Mental Health Counselor
NPI 1598448953
926 ASPEN ST
Fairbanks, AK 99709
(907) 371-1300
✔ PECOS1.2 mi
Nurse Practitioner
NPI 1639855844
926 ASPEN ST
Fairbanks, AK 99709
(907) 371-1300
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1760675953
315 5TH AVE
Fairbanks, AK 99701
(406) 579-7101
✔ PECOS✔ Accepts Medicare1.8 mi
Mental Health Counselor
NPI 1679817621
3830 S CUSHMAN ST
Fairbanks, AK 99701
(907) 452-1575
✔ PECOS2.5 mi
Nurse Practitioner
NPI 1972457042
351 W PARKS HWY
Wasilla, AK 99654
(907) 563-1000
✔ PECOS✔ Accepts Medicare231 mi
Clinical Social Worker
NPI 1013643444
1432 INGRA ST
Anchorage, AK 99501
(907) 444-0520
✔ PECOS✔ Accepts Medicare260 mi
Nurse Practitioner
NPI 1609326594
3211 PROVIDENCE DRIVE RH STE 116 UNIVERSITY OF ALASKA ANCHORAGE STUDENT HEALTH & COUNCEL
Anchorage, AK 99508
(907) 786-4040
✔ PECOS✔ Accepts Medicare261 mi
Nurse Practitioner
NPI 1639990419
3200 PROVIDENCE DR
Anchorage, AK 99508
(907) 562-2211
✔ PECOS✔ Accepts Medicare261 mi
Mental Health Counselor
NPI 1881360907
4020 FOLKER ST
Anchorage, AK 99508
(907) 563-1000
✔ PECOS✔ Accepts Medicare261 mi
Clinical Social Worker
NPI 1235732710
4020 FOLKER ST
Anchorage, AK 99508
(907) 563-1000
✔ PECOS✔ Accepts Medicare261 mi
Clinical Social Worker
NPI 1912628777
4020 FOLKER ST
Anchorage, AK 99508
(907) 744-7784
✔ PECOS✔ Accepts Medicare261 mi
Mental Health Counselor
NPI 1316052798
4020 FOLKER ST
Anchorage, AK 99508
(907) 261-5313
✔ PECOS261 mi
Marriage and Family Therapist
NPI 1750550646
4045 LAKE OTIS PKWY
Anchorage, AK 99508
(907) 561-0954
✔ PECOS✔ Accepts Medicare261 mi
Marriage and Family Therapist
NPI 1972856508
211 EASTMOOR AVE
Daly City, CA 94015
(415) 391-9686
✔ PECOS✔ Accepts Medicare2,141 mi
Psychiatry
NPI 1801276027
7703 FLOYD CURL DR MAIL CODE 7792
San Antonio, TX 78229
(210) 567-5742
✔ PECOS3,220 mi
See all 42 clinicians

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

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 Anchorage Community Mental Health Services Inc.'s NPI number?

The NPI number for Anchorage Community Mental Health Services Inc. is 1366388423. It was assigned to this organization in the NPPES registry on April 28, 2026.

Where is Anchorage Community Mental Health Services Inc. located?

Anchorage Community Mental Health Services Inc. is located at 1300 Moore St, Fairbanks, AK 99701. The listed phone number is (907) 563-1000.

What is Anchorage Community Mental Health Services Inc.'s specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

Is Anchorage Community Mental Health Services Inc. enrolled in Medicare?

Yes. Anchorage Community Mental Health Services Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Anchorage Community Mental Health Services Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 42 clinicians in 5 Medicare specialties reassign their Medicare billing to Anchorage Community Mental Health Services Inc.. A 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 the clinician's services. The largest specialties are Nurse Practitioner (19), Mental Health Counselor (12) and Clinical Social Worker (8). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Anchorage Community Mental Health Services Inc. was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.