DANIELLE FAIRBANKS (PA-C) – Physician Assistant, NPI 1083232177
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,685 PHYSICIAN ASSISTANT in AZ
Provider Addresses for DANIELLE FAIRBANKS (PA-C)
5302 E VAN BUREN ST UNIT 3021
PHOENIX, AZ 850087975
Phone: (262) 366-0419
Type: Mailing
19555 N 59TH AVE
GLENDALE, AZ 853086813
Phone: (623) 572-3215
Type: Location
253 N PIEDRA
MESA, AZ 852077561
Phone: (262) 366-0419
Type: Mailing
1744 S VAL VISTA DR STE 5-108
MESA, AZ 852047362
Phone: (888) 663-6631
Fax: (415) 252-7176
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $982.
Total Amount is formed as General ($982) + Research ($0) + Ownership ($0) = $982.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: ABBVIE INC. ($318).
Total Amount
$982
General + Research + Ownership
Payments
34
Total payment records
General Amount
$982
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $318 |
| Ardelyx, Inc. | $113 |
| GENZYME CORPORATION | $100 |
| Lilly USA, LLC | $61 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $57 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-01-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201021003437 | I | Physician Assistant | AZ | TBD |
| I20240117000029 | I | Physician Assistant | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 85008)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | AZ | |
| Family Practice | MO | |
| - | AZ | |
| Nurse Practitioner | AZ | |
| Family Practice | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| - | AZ |
Reviews
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