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Deactivated NPI 1275711731 Deactivated / Inactive NPI Male Practitioner

Jonathan N Pelikan , PA

Physician Assistant • Fort Wainwright, AK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jonathan Pelikan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 07, 2008
NPI Deactivation Date June 26, 2024
Total Practice Duration ~16 Years of Practice (2008 – 2024)

Professional Overview & Biography Verified Profile Summary

Jonathan Pelikan, PA was a registered Physician Assistant practicing in Fort Wainwright, AK. Throughout an active medical career spanning 16 years, Jonathan Pelikan provided care at the practice location at 1060 GAFFNEY RD until profile deactivation on 2024-06-26.

Practice Location & Contact Primary Location

Practice Address

1060 Gaffney Rd
#7440 Attn: Mcuc-Mmd-Qm Credentials

Fort Wainwright, AK 997035001

Telephone 9073614847

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Wainwright, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
15 Specialists

Practicing in Fort Wainwright, AK (551 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Practice Associates & Co-Workers

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

24 Associated Practitioners
Katherine Zorb , RN

Registered Nurse - Occupational Health

NPI 1003888272

Registered Nurse

Elizabeth Mittelstaedt

Registered Nurse

NPI 1033191192
Stephanie Heavner

Registered Nurse - Community Health

NPI 1043528649
Laurence Keim , PA-C

Physician Assistant

NPI 1043764939

Physician Assistant (Certified)

Dr. Shianna Walker , PhD

Clinical Neuropsychologist

NPI 1104180405

Doctor of Philosophy (Ph.D.)

Dr. Laura Kaster , MD

Family Medicine

NPI 1114989514

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
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NPI Profile Deactivated June 26, 2024

Record deactivated on June 26, 2024

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Updated Practice Location August 12, 2022

Registered at 683 WAIANAE AVE, SCHOFIELD BARRACKS, HI 968765004 (Tel: 8084338233)

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Updated Business Mailing Address August 12, 2022

Registered at 683 WAIANAE AVE, BLDG 677, SCHOFIELD BARRACKS, HI 968765004 (Tel: 8084338233)

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2022

Physician Assistant (License #PA9104957 in ZZ)

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Updated Business Mailing Address April 01, 2021

Registered at 3524 AIRFIELD RD BLDG 9621, FORT CARSON, CO 809134701 (Tel: 7195246507)

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2021

Physician Assistant (License #PA9104957 in FL)

NPI Profile Active December 04, 2012

NPI status registered as active in NPPES database

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Updated Practice Location December 04, 2012

Registered at 1060 GAFFNEY RD, #7440 ATTN: MCUC-MMD-QM CREDENTIALS, FORT WAINWRIGHT, AK 997035001 (Tel: 9073614847)

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Updated Business Mailing Address December 04, 2012

Registered at 1060 GAFFNEY RD, #7440 ATTN: MCUC-MMD-QM CREDENTIALS, FORT WAINWRIGHT, AK 997035001 (Tel: 9073614847)

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Provider Name / Credentials Updated December 04, 2012

Recorded as JONATHAN PELIKAN, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2012

Physician Assistant

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Initial NPI Registration & Enumeration February 07, 2008

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: 1275711731
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2008
Last Update: December 04, 2012
Deactivation Date: June 26, 2024

Mailing Address

1060 Gaffney Rd, #7440 Attn: Mcuc-Mmd-Qm Credentials

Fort Wainwright, AK 997035001

Phone: 9073614847

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.