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INDY MARIE FAIRBANKS
NPI 1013267756
Social Worker - Clinical in Derby, KS

Active since September 10, 2012PECOS EnrolledAccepts Medicare Assignment
402 N RIVER ST STE 200, DERBY, KS 67037(316) 409-0565 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2025, Jan 31, 2023, May 31, 2017 (3 updates tracked since 2017).

About Indy Marie Fairbanks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDY MARIE FAIRBANKS (NPI 1013267756) is an individual clinical provider in Derby, Kansas, licensed in Kansas (4661) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1013267756
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameINDY MARIE FAIRBANKS
Location Address402 N RIVER ST STE 200Derby, KS 67037-1539
Mailing Address215 E 9th AveBelle Plaine, KS 67013-8823 · (316) 633-3262
Phone(316) 409-0565
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 10, 2012
Last NPPES UpdateDecember 16, 20253 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1013267756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KS · 4661
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 647 (KS)
402 N RIVER ST STE 200, Derby, KS 67037
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Other Identifiers 1

Medicaid200964810AKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Indy Marie Fairbanks is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729355573
PECOS Enrollment IDI20170525002063
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
139 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.00 – $161.67
Typical copayment $0.00 (range $13.25 – $40.41)
Most-billed visit code NA
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFE ANCHOR COUNSELING LLC
Social Worker (Clinical)
402 N RIVER ST STE 200
DERBY, KS 67037
Sedgwick County (316) 409-0565
HUYEN SUSAN LE
Marriage & Family Therapist
402 N RIVER ST STE 200
DERBY, KS 67037
Sedgwick County (316) 409-0565

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Indy Fairbanks's NPI number?

The NPI number for Indy Fairbanks is 1013267756. It was assigned to this individual provider in the NPPES registry on September 10, 2012.

Where is Indy Fairbanks located?

Indy Fairbanks practices at 402 N River St Ste 200, Derby, KS 67037. The listed phone number is (316) 409-0565.

What is Indy Fairbanks's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Indy Fairbanks enrolled in Medicare?

Yes. Indy Fairbanks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Indy Fairbanks accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Indy Fairbanks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Indy Fairbanks was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.