MARY C FAIRCHILD (FNP-C) – Family Nurse Practitioner, NPI 1336185818
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MARY C FAIRCHILD (FNP-C)
5008 SW SAND AVE
PALM CITY, FL 349901395
Phone: (561) 748-2889
Type: Location
36123, Schoolcraft Road, Livonia, Wayne County, Michigan, 48150, United States
LIVONIA, MI 481501216
Phone: (913) 660-1616
Fax: (913) 660-0998
Type: Mailing
Shawnee Mission Medical Center, 9100, West 74th Street, Overland Park, Johnson County, Kansas, 66204, United States
SHAWNEE MISSION, KS 662044004
Phone: (913) 676-2000
Type: Location
PO BOX 2760
JUPITER, FL 334682760
Phone: (561) 222-2788
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-06-01
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 |
|---|---|---|---|---|
| I20140317000108 | I | Nurse Practitioner | KS | TBD |
| I20210601001465 | I | Nurse Practitioner | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 461 | 188 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 355 | 176 | $0 |
| G0317 | Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi | 89 | 63 | $0 |
| 99316 | Nursing facility discharge management, more than 30 minutes | 74 | 70 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 34990)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | KS | |
| - | KS | |
| Internal Medicine, Pulmonary Disease | MO | |
| Internal Medicine | MO | |
| - | KS | |
| Nurse Practitioner | KS | |
| Internal Medicine | KS | |
| - | MI | |
| Physician Assistant | KS | |
| - | MO |
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