MS. JENNIFER SUSAN BRACAMONTES MD
NPI 1942663190
Pediatrics - Pediatric Endocrinology in Fairbanks, AK

Q: What is Jennifer Bracamontes's NPI number?

The NPI number for Jennifer Bracamontes is 1942663190. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Q: What is Jennifer Bracamontes's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Active since April 04, 2016PECOS Enrolled

1717 W COWLES ST, FAIRBANKS, AK 99701(907) 729-3300 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 10, 2025, Jun 27, 2025, May 16, 2025 and 1 more (4 updates tracked since 2022).

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About Ms. Jennifer Susan Bracamontes Md NPPES

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

MS. JENNIFER SUSAN BRACAMONTES MD (NPI 1942663190) is an individual pediatric endocrinology provider in Fairbanks, Alaska, licensed in Alaska (219654) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1942663190

Entity TypeIndividualFemale

Primary Taxonomy2080P0205X

Provider Legal NameMS. JENNIFER SUSAN BRACAMONTESCredential: MD

Location Address1717 W COWLES STFairbanks, AK 99701-5926

Mailing Address7033 E Tudor RdAnchorage, AK 99507-1262 · (907) 729-3300 · Fax (907) 729-5180

Phone(907) 729-3300

Sole ProprietorNo

Enumeration DateApril 4, 2016

Last NPPES UpdateSeptember 10, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2025

✔ NPI 1942663190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0205X

License✔ Licensed in AK · 219654

Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

Also ListedPediatricsTaxonomy 208000000X · License MD61271571 (WA)

Secondary Practice Location 1

Location 11959 NE Pacific StSeattle, WA 98195-0001 · Phone (206) 520-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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)

Ms. Jennifer Susan Bracamontes Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jennifer Bracamontes reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alaska Native Tribal Health Consortium

General Acute Care Hospital

4315 DIPLOMACY DR
Anchorage, AK 99508

Reassigned Medicare billing, Texas enrollment
1,373 clinicians in this Medicare group

NPI 1437189339 (907) 563-2662

Southcentral Foundation

Community/Behavioral Health

1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654

Reassigned Medicare billing, Texas enrollment
459 clinicians in this Medicare group

NPI 1003469719 (907) 631-7800

Tanana Chiefs Conference

Multi-Specialty

1717 W COWLES ST
Fairbanks, AK 99701

Reassigned Medicare billing, Texas enrollment
207 clinicians in this Medicare group

NPI 1821201278 (907) 451-6682

Association Of Chmc And University Physicians

Orthopaedic Trauma

325 9TH AVE
Seattle, WA 98104

Reassigned Medicare billing, Washington enrollment
Medicare enrollment name: The Association Of Chrmc And University Physicians
1,443 clinicians in this Medicare group

NPI 1215153671 (206) 731-3000

The Association Of University Physicians

Anesthesiology

701 5TH AVE, SUITE 700
Seattle, WA 98104

Reassigned Medicare billing, Washington enrollment
4,364 clinicians in this Medicare group

NPI 1023041159 (206) 543-6420

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

$168.20 typical visit price

range $71.33 – $222.64

Typical copayment $42.05 (range $17.83 – $55.66)

Most-billed visit code 99204

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 20

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

ANNE BURTNESS

Dietitian, Registered