Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093679896 Individual Practitioner Female Practitioner

Crystalena Sam

Peer Specialist • Fairbanks, AK

Professional Overview & Biography Verified Profile Summary

Crystalena Sam is a registered healthcare professional specializing in Peer Specialist in Fairbanks, AK. Practice services are available at 1521 S CUSHMAN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1521 S Cushman St

Fairbanks, AK 997016203

Telephone 9074528251
Associated Practice Facility / Clinic
🏢 Tanana Chiefs Conference Facility NPI 1841835980

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Fairbanks, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
58 Specialists

Practicing in Fairbanks, AK (581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-15
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Cynthia Agnes

Counselor

NPI 1003426776
Kristina Boswood , MED, LPC

Counselor - Professional

NPI 1023247384

Master of Education, Licensed Professional Counselor

Charlie Titus

Counselor - Addiction (Substance Use Disorder)

NPI 1023340056
Debra Dayton

Dental Assistant

NPI 1023365186
Tashina Pitka

Case Manager/Care Coordinator

NPI 1033773205
Celina Risner , CDC I

Counselor - Addiction (Substance Use Disorder)

NPI 1033785639

CDCI

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 15, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2025

Registered at 1521 S CUSHMAN ST, FAIRBANKS, AK 997016203 (Tel: 9074528251)

📍
Updated Business Mailing Address December 15, 2025

Registered at 1521 S CUSHMAN ST, FAIRBANKS, AK 997016203 (Tel: 9074528251)

👤
Provider Name / Credentials Updated December 15, 2025

Recorded as CRYSTALENA SAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2025

Peer Specialist

🟢
Initial NPI Registration & Enumeration December 15, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093679896
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2025
Last Update: December 15, 2025
Sole Proprietor: Yes

Mailing Address

1521 S Cushman St

Fairbanks, AK 997016203

Phone: 9074528251

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.