JILL MARIE FAIRBANKS (FNP-C) – Nurse Practitioner, NPI 1154991131
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for JILL MARIE FAIRBANKS (FNP-C)
405 W Jackson St
Carbondale, IL 629011462
Phone: (618) 457-3065
Fax: (618) 351-6476
Type: Location
2 S Hospital Dr
Murphysboro, IL 629663333
Phone: (618) 684-3156
Fax: (618) 529-0530
Type: Location
PO BOX 3988
CARBONDALE, IL 629023988
Phone: (618) 457-5200
Type: Mailing
201 S 14TH ST
HERRIN, IL 629483631
Phone: (618) 457-3065
Fax: (618) 351-6476
Type: Location
PO BOX 155
CHRISTOPHER, IL 628220155
Phone: (618) 724-2401
Fax: (618) 724-4628
Type: Mailing
1564 S WASHINGTON ST
DU QUOIN, IL 628323849
Phone: (618) 542-8702
Fax: (618) 542-8792
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $604.
Total Amount is formed as General ($604) + Research ($0) + Ownership ($0) = $604.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novo Nordisk Inc ($183).
Total Amount
$604
General + Research + Ownership
Payments
33
Total payment records
General Amount
$604
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $183 |
| Dexcom, Inc. | $127 |
| AstraZeneca Pharmaceuticals LP | $70 |
| ABBVIE INC. | $67 |
| Exact Sciences Corporation | $65 |
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: 2021-11-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20211115002534 | I | Nurse Practitioner | IL | 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 |
|---|---|---|---|---|
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 16 | 16 | $0 |
Insurance plans in this area (ZIP 62901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| Family Practice | IL | |
| Internal Medicine, Emergency Medicine | IL | |
| Physician Assistant | IL | |
| Internal Medicine, Geriatric Medicine | IL | |
| Physician Assistant | IL | |
| P S Y C H I A T R Y | IL | |
| - | IL | |
| Nurse Practitioner | IL |
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