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Mitchell Ryan Andreas , PHYSICIAN ASSISTANT

Physician Assistant β€’ Fort Wainwright, AK

Active NPI 1205301421 Individual Practitioner Male Practitioner
Practice location in NPPES

4076 Neely Rd; Bldg 4076; Room 1b-201
Fort Wainwright, AK 809064102

Call 9073614000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4076 Neely Rd; Bldg 4076; Room 1b-201

Fort Wainwright, AK 809064102

Telephone 9073614000
Organization at the Same NPPES Address or Phone
Bassett Army Community Hospital/public Health Facility NPI 1982906749

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Fairbanks, AK. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Nebraska College Of Medicine

Graduation Year

2018

Industry payments (Open Payments)

Fewer than 11 payment records totaling $61.98 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Mitchell Andreas has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Mitchell Andreas as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Fort Wainwright and Alaska

14 active clinicians are listed under Physician Assistant with a practice address in Fort Wainwright, AK (542 in Alaska).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fort Wainwright

0% of these 14 clinicians have the CMS telehealth indicator.

7.1% of these 14 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $61.98.

Manufacturer Payment Nature Product Type Amount ($)
Orthofix Medical, Inc.
Food and Beverage
Cash or cash equivalent
Physio-Stim General $61.98

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES AK 233899

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alaska State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1761500 (AK)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20260115002442

Enrollment State Jurisdiction

AK

PECOS Control ID

4587031810

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1919 Lathrop St

Fairbanks, AK 997015937

Phone: 9074593545

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Kaitlyn Gamber , PA-C

Physician Assistant

NPI 1831520220

Physician Assistant (Certified)

Dr. Timothy Hunter , MD

Internal Medicine

NPI 1750744629

Doctor of Medicine (M.D.)

Benjy Jose , FNP

Nurse Practitioner - Family

NPI 1083225676

Family Nurse Practitioner

Dr. Sephra Leger , DNP

Nurse Anesthetist, Certified Registered

NPI 1003362344

Doctor of Nursing Practice

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2026

Physician Assistant (license number reported to NPPES: AK 233899)

πŸ“
Updated Practice Location March 19, 2025

Registered at 4076 NEELY RD; BLDG 4076; ROOM 1B-201, FORT WAINWRIGHT, AK 809064102 (Tel: 9073614000)

πŸ“
Updated Business Mailing Address March 19, 2025

Registered at 4076 NEELY ROAD, FORT WAINWRIGHT, AK 99703

πŸ“
Updated Practice Location August 18, 2022

Registered at 2767 JANITELL RD, COLORADO SPRINGS, CO 809064102 (Tel: 7193652888)

πŸ“
Updated Business Mailing Address August 18, 2022

Registered at 2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 805389071 (Tel: 9706242417)

βœ…
NPI Profile Active October 04, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 04, 2018

Registered at 1650 COCHRANE CIR, FT CARSON, CO 809134613 (Tel: 7196445621)

πŸ“
Business Mailing Address (Initial Record) October 04, 2018

Registered at 1650 COCHRANE CIR, FT CARSON, CO 809134613

πŸ‘€
Provider Name / Credentials (Initial Record) October 04, 2018

Recorded as MITCHELL ANDREAS, PHYSICIAN ASSISTANT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2018

Physician Assistant

🟒
Initial NPI Registration & Enumeration October 04, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205301421
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2018
Last Update: March 13, 2026
Sole Proprietor: No

Other Physician Assistants in Fort Wainwright

Mailing Address

4076 Neely Road

Fort Wainwright, AK 99703

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.