FAIRBANKS PSYCHIATRIC AND NEUROLOGICAL CLINIC A PROF CORP
NPI 1518075100
Psychiatry & Neurology - Neurology in Fairbanks, AK
About Fairbanks Psychiatric And Neurological Clinic A Prof Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAIRBANKS PSYCHIATRIC AND NEUROLOGICAL CLINIC A PROF CORP (NPI 1518075100) is a healthcare organization registered as a neurology in Fairbanks, Alaska and active in the NPI registry since August 2006. The organization lists Joseph E Beaty, Billing Agent, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fairbanks Psychiatric And Neurological Clinic A Prof Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Fairbanks Psychiatric And Neurological Clinic A Prof Corp, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Fairbanks Psychiatric And Neurological Clinic A Prof Corp's NPI number?
The NPI number for Fairbanks Psychiatric And Neurological Clinic A Prof Corp is 1518075100. It was assigned to this organization in the NPPES registry on August 25, 2006.
Where is Fairbanks Psychiatric And Neurological Clinic A Prof Corp located?
Fairbanks Psychiatric And Neurological Clinic A Prof Corp is located at 1919 Lathrop St Suite 220, Fairbanks, AK 99701. The listed phone number is (907) 452-1739.
What is Fairbanks Psychiatric And Neurological Clinic A Prof Corp's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Fairbanks Psychiatric And Neurological Clinic A Prof Corp enrolled in Medicare?
Yes. Fairbanks Psychiatric And Neurological Clinic A Prof Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fairbanks Psychiatric And Neurological Clinic A Prof Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Fairbanks Psychiatric And Neurological Clinic A Prof Corp, in Clinical Social Worker, Neurology and Psychiatry. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Fairbanks Psychiatric And Neurological Clinic A Prof Corp accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Fairbanks Psychiatric And Neurological Clinic A Prof Corp 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 Fairbanks Psychiatric And Neurological Clinic A Prof Corp was last updated on January 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Fairbanks Psychiatric And Neurological Clinic A Prof Corp · NPI 1518075100
Neurology organization in Fairbanks, Alaska. Organization record, active in the CMS NPPES registry since August 25, 2006.
## Identity
- **NPI:** 1518075100 (Entity type: Organization)
- **Enumerated:** August 25, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **Organization subpart:** No
- **Authorized official:** Joseph Beaty, BILLING AGENT
## Practice location
- **Address:** 1919 LATHROP ST, SUITE 220, Fairbanks, AK 99701-5937
- **Phone:** (907) 452-1739 · **Fax:** (907) 452-2384
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (1), Neurology (1), Psychiatry (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 16, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1518075100) · Data from the CMS NPPES public registry.